Penn State Health Community Medical Group, LLC
NPI #1952897738 in Leesport, Pennsylvania
Provider Information
- NPI Number
- 1952897738
- Entity Type
- Organization
- Organization Name
- Penn State Health Community Medical Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 5, 2018
- Last Updated
- Aug 27, 2018
Practice Location
- Address
- 5 S CENTRE AVE
- City
- Leesport
- State
- Pennsylvania
- ZIP Code
- 19533
- Phone
- (610) 926-5707
Authorized Official
- Name
- STEPHEN MASSINI
- Title
- EXECUTIVE VICE PRESIDENT, CFO
- Phone
- (717) 531-6614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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