| NPI | 1376815159 |
|---|---|
| Doing Business As | BLUE MOUNTAIN 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 | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |