Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA AT MIDDLEBURG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J MOYLE J.D. (DIR. OF FISCAL & CORPORATE OPERATIO)
(610) 239-9600
Entity
Organization
Contact information
Practice address
201 E MAIN ST, MIDDLEBURG, PA 17842-1148
(570) 837-2208
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
557053
PA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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