Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jan 22, 2015
License(s)
979075464 (NY), OS019325 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 400 HIGHLAND AVE | Lewistown, PA 17044-1167 | 717-248-5411 |
| MAILING | 100 N ACADEMY AVE | Danville, PA 17822-4903 | 570-271-6144 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.