Geriatric Research & Consulting Group Llc

NPI 1003074600 - Family Medicine - 207QG0300X

NPI Details
NPI 1003074600
Enumeration Date 05/30/2008
Last Updated 07/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARIO MARIO
Position OWNER
Phone (570) 829-1095
Fax
Practice Location
1200 ALEEDA BLVD
BEAR CREEK TOWNSHIP PA, 18702-9611, US
Phone (570) 829-1095
Fax
Business Location
1200 ALEEDA BLVD
BEAR CREEK TOWNSHIP PA, 18702-9611, US
Phone (570) 829-1095
Fax
Toxanomy
Taxonomy Code 207QG0300X
License State Pennsylvania
License Number OS005253L
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According to our database, Geriatric Research & Consulting Group Llc NPI is 1003074600, taxonomy code is 207QG0300X and license number is OS005253L, license state is located at Pennsylvania. Geriatric Research & Consulting Group Llc physically located at 1200 Aleeda Blvd, Bear Creek Township PA, 18702-9611. NPI Number 1033115704 has the healthcare provider type.

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1003074600 NPI number is provided on an as is basis without warranty of any kind. 1003074600 is maintained by the National Plan & Provider Enumeration System. The contents of Geriatric Research & Consulting Group Llc are for informational purposes only.