| NPI | 1538107560 |
|---|---|
| Doing Business As | STATE STREE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MALIZIA VP Nlcmg 717-738-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-04-20 |