Slate Belt Family Practice PC
NPI #1396715389 in Wind Gap, Pennsylvania
Provider Information
- NPI Number
- 1396715389
- Entity Type
- Organization
- Organization Name
- Slate Belt Family Practice PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 24, 2006
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 826 S BROADWAY
- City
- Wind Gap
- State
- Pennsylvania
- ZIP Code
- 18091-1628
- Phone
- (610) 863-3019
Authorized Official
- Name
- DR. WAYNE J BROTZMAN JR., D.O.
- Title
- PHYSICIAN
- Phone
- (610) 863-3019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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