Organization
INTERNISTS OF CENTRAL PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA JOHNSON (OFFICE MANAGER)
(717) 774-1366
Entity
Organization
Contact information
Practice address
108 LOWTHER ST, LEMOYNE, PA 17043-2045
(717) 774-1366
Mailing address
154 ERFORD RD APT 405, CAMP HILL, PA 17011-1827
(740) 504-3140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057852
PA
363AM0700X
Medical Physician Assistant
MA057852
PA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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