Gaudenzia INC
NPI #1104058338 in Pottsville, Pennsylvania
Provider Information
- NPI Number
- 1104058338
- Entity Type
- Organization
- Organization Name
- Gaudenzia INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 21, 2009
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 1 S 2ND ST
- Address 2
- 4TH FLOOR
- City
- Pottsville
- State
- Pennsylvania
- ZIP Code
- 17901-3174
- Phone
- (570) 622-6485
Authorized Official
- Name
- MIKE WILLIAMS
- Title
- SR. CONTRACTING MANAGER
- Phone
- (484) 338-3731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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