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Organization

ADVANCED LIMB SALVAGE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA BROOKS (PRACTICE ADMINISTRATOR)
(717) 727-0480
Entity
Organization

Contact information

Practice address
3040 MARKET ST, CAMP HILL, PA 17011-4539
(717) 727-0480
(717) 727-0479
Mailing address
3040 MARKET ST, CAMP HILL, PA 17011-4539
(717) 727-0480
(717) 327-4613

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
PA
Enumeration date
05/09/2021
Last updated
04/28/2022
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