Individual
BEVERLEY P UNIACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 TRINITY DR E, SUITE 120, DILLSBURG, PA 17019-8522
(717) 432-5430
(717) 432-9296
Mailing address
1 TRINITY DR E STE 120, DILLSBURG, PA 17019-8522
(717) 432-5430
(717) 432-9296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053374L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015924340002
—
PA
01
—
579133
AETNA
PA
01
—
P859633
GATEWAY
PA
Enumeration date
04/28/2006
Last updated
01/09/2021
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