Organization
ROBERT G SANFORD MD ALAN D ROUMM MD AND RAVI D ACHARYA MD PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G. SANFORD MD (PARTNER)
(717) 761-3505
Entity
Organization
Contact information
Practice address
1845 CENTER ST, CAMP HILL, PA 17011-1703
(717) 761-3507
Mailing address
1845 CENTER ST, CAMP HILL, PA 17011-1703
(717) 761-3507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02312300
KEYSTONE SR BLUE
PA
01
—
094822
PA BLUE SHIELD
PA
01
—
314576
HEALTH AMERICA
PA
01
—
3350
GEISINGER
PA
01
—
7094822
GATEWAY
PA
01
—
DD8455
TRAVELERS MEDICARE
PA
Enumeration date
09/08/2006
Last updated
03/12/2013
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