Individual
FORTUNE AIG-OJEANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 217-4300
(717) 217-4217
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO2704
NV
207R00000X
Internal Medicine Physician
OS023536
PA
208M00000X
Hospitalist Physician
DO2704
NV
208M00000X
Hospitalist Physician
Primary
OS023536
PA
Other
Enumeration date
07/28/2015
Last updated
09/12/2024
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