Penn State Health Community Medical Group, LLC
NPI #1104404441 in Mechanicsburg, Pennsylvania
Provider Information
- NPI Number
- 1104404441
- Entity Type
- Organization
- Organization Name
- Penn State Health Community Medical Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PENN STATE HEALTH
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 30, 2021
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 1819 S. MARKET STREET
- City
- Mechanicsburg
- State
- Pennsylvania
- ZIP Code
- 17055
- Phone
- (717) 691-9683
Authorized Official
- Name
- PAULA TINCH
- Title
- CFO
- Phone
- (717) 531-1788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Family Medicine |
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