Organization
ADVANCED OTOLARYNGOLOGY & ALLERGY LLC
Active
Other names
Target Health Urgent Care, Advanced ENT and Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
LORI EICHELBERGER (INTERIM OFFICE MANAGER)
(717) 632-2221
Entity
Organization
Contact information
Practice address
864 BROADWAY STE 101, HANOVER, PA 17331-1501
(717) 632-2221
(717) 965-7519
Mailing address
864 BROADWAY STE 101, HANOVER, PA 17331-1501
(717) 632-2221
(717) 965-7519
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
—
—
207Y00000X
Otolaryngology Physician
MD432200
PA
207YS0123X
Facial Plastic Surgery Physician
Primary
MD432200
PA
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11782821
CAQH
PA
01
—
MD432200
LICENSE
PA
Enumeration date
11/15/2011
Last updated
02/03/2026
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