Pine Grove Internal Medicine, Inc.

NPI #1417059619 in York, Pennsylvania

Provider Information

NPI Number: 1417059619
Entity Type: Organization
Organization Name: Pine Grove Internal Medicine, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Sep 1, 2006
Last Updated: Feb 4, 2011

Practice Location

Address: 1938 SECURITY DR
City: York
State: Pennsylvania
ZIP Code: 17402-4727
Phone: (717) 741-5600

Authorized Official

Name: DR. PAULA A JACOBUS, M.D.
Title: PHYSICIAN
Phone: (717) 741-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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