| NPI | 1104404441 |
|---|---|
| Other Name | PENN STATE HEALTH MEDICAL GROUP - UPPER ALLEN |
| Entity Type | Organization |
| Authorized Contact | PAULA TINCH CFO 717-531-1788 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |