NPI | 1013280627 |
---|---|
Doing Business As | COLONIAL PARK FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JOSEPH A CINCOTTA Medical Director 717-761-0208 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-02-13 |
Last Update Date | 2012-02-13 |