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Individual

DR. JOHN Y DEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2310 PATTON RD, HARRISBURG, PA 17112
(717) 724-6500
(717) 724-6510
Mailing address
2310 PATTON RD, HARRISBURG, PA 17112-9154

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD046300L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001294773
PA
Enumeration date
05/02/2006
Last updated
01/23/2021
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