PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC

LEMOYNE, PA
NPI1801433149
Doing Business AsPENN STATE HEALTH MEDICAL GROUP - PULMONARY AND CRITICAL CARE MEDICINE
Entity TypeOrganization
Authorized ContactMARGARET YUSKOVIC
Delegated
610-208-8818
Organization Subpart ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Additional Taxonomies207RS0012X Internal Medicine, Sleep Medicine
2080P0214X Pediatrics, Pediatric Pulmonology
207RC0200X Internal Medicine, Critical Care Medicine
Enumeration Date2019-12-05
Last Update Date2022-03-02
Business Address
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
50 N 12TH ST
LEMOYNE, PA 17043-1440
Phone number: 717-234-2561
Mailing Address
PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
PO BOX 848
HERSHEY, PA 17033-0848
Phone number: 610-208-8818