| NPI | 1982124129 |
|---|---|
| Doing Business As | COLLEGE AVENUE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P. MARKLEY Sr VP, Strat Svcs/Gen Counsel 717-231-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-02-12 |