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PENNSBORO PEDIATRICS LLC NPI 1760588552


NPI Information

NPI: 1760588552
Provider Name: PENNSBORO PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
125 N ENOLA DR
STE 101
ENOLA, PA
ZIP 17025
Phone: (717) 732-7171
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PENNSBORO PEDIATRICS, LLC is a pediatrics in Enola, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PENNSBORO PEDIATRICS, LLC NPI is 1760588552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 N ENOLA DR
STE 101
ENOLA, PA
ZIP 17025-500
Phone: (717) 732-7171
Fax: (717) 732-8872

The provider's authorized official is Richard Blutstein .
The authorized official title is Manager and has the following contact phone number (717) 732-7171.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 5/5/2024

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