Main Street Family Medicine of Spring Grove, Inc.
NPI #1508915844 in Spring Grove, Pennsylvania
Provider Information
- NPI Number
- 1508915844
- Entity Type
- Organization
- Organization Name
- Main Street Family Medicine of Spring Grove, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Dec 10, 2007
Practice Location
- Address
- 285 N MAIN ST
- City
- Spring Grove
- State
- Pennsylvania
- ZIP Code
- 17362-1134
- Phone
- (717) 225-3610
Authorized Official
- Name
- DR. PUNEET KUMAR GUPTA, D.O.
- Title
- PHYSICIAN
- Phone
- (717) 225-3610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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