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
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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