Gslpg INC
Family Medicine in Orwigsburg, PA. Organization (NPI-2).
NPI number1750848321
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1750848321
- Entity type
- Organization (NPI-2)
- Legal business name
- Gslpg INC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2019
- Certification date
- Sep 4, 2020
- Last updated
- Sep 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Geisinger St. Luke'S Orwigsburg Family Practice (Doing Business As)
Practice location
209 E Market StOrwigsburg, PA 17961-1905
Phone 570-366-3885
Mailing address
801 Ostrum StBethlehem, PA 18015-1000
Phone 484-526-6048
Authorized official
Sue Chiavaroli
Cvo Supervisor
4845263569
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