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Organization

ANDERS P. NELSON, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDERS P NELSON MD (OWNER)
(570) 586-8879
Entity
Organization

Contact information

Practice address
110 LAYTON ROAD, CLARKS SUMMIT, PA 18411
(570) 586-8879
Mailing address
PO BOX 399, CHINCHILLA, PA 18410-0399
(570) 586-8879

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD043822E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011992910001
PA
Enumeration date
05/14/2007
Last updated
01/21/2011
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