Heritage Medical Group, LLP
Family Medicine in Enola, PA. Organization (NPI-2).
NPI number1275787749
StatusActive
Last updated in NPPESMay 29, 2009
Details
- NPI
- 1275787749
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Medical Group, LLP
- Organization subpart
- No
- Enumeration date
- Nov 11, 2008
- Last updated
- May 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Good Hope Family Physicians (Doing Business As)
Practice location
1830 Good Hope RdEnola, PA 17025-1233
Phone 717-732-8877 · Fax 717-732-9241
Mailing address
3 Walnut StSuite 206
Lemoyne, PA 17043-1168
Phone 717-761-0208 · Fax 717-761-2023
Authorized official
Joseph A. Cincotta
Medical Director
7177610208
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