Fifth Avenue Medical Group LLC
NPI #1124064019 in Chambersburg, Pennsylvania
Provider Information
- NPI Number
- 1124064019
- Entity Type
- Organization
- Organization Name
- Fifth Avenue Medical Group LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jun 21, 2006
- Last Updated
- Nov 8, 2019
Practice Location
- Address
- 835 5TH AVE
- City
- Chambersburg
- State
- Pennsylvania
- ZIP Code
- 17201-4224
- Phone
- (717) 217-4312
Authorized Official
- Name
- MELANIE MOATS
- Title
- CENTER DIRECTOR
- Phone
- (717) 217-4312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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