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PENN STATE HEALTH COMMUNITY MEDICAL GROUP LLC NPI 1457824013


NPI Information

NPI: 1457824013
Provider Name: PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4520 UNION DEPOSIT RD
HARRISBURG, PA
ZIP 17111
Phone: (717) 909-4139
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PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC is a diagnostic radiology radiology in Harrisburg, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC NPI is 1457824013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4520 UNION DEPOSIT RD
HARRISBURG, PA
ZIP 17111-910
Phone: (717) 909-4139

The provider's authorized official is Stephen Massini .
The authorized official title is Ex. Vice Pres, Chief Financial Ofc and has the following contact phone number (717) 531-6614.

The enumeration date for this NPI number is 1/7/2019 and was last updated on 2/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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