| Dr John L Holup, DO | |
|
1100 Grampian Blvd, Williamsport, PA 17701-1909 | |
| (570) 326-8550 | |
| Not Available |
| Full Name | Dr John L Holup |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1100 Grampian Blvd, Williamsport, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326010125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OS007311L (Pennsylvania) | Primary |
| Entity Name | Robert Marriott Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20090203000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John L Holup, DO 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: (570) 326-8723 | Dr John L Holup, DO 1100 Grampian Blvd, Williamsport, PA 17701-1909 Ph: (570) 326-8550 |
Ashley Leberfinger, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-326-8005 | |
Karl Ahlswede, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7680 | |
Casey Yossa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2805 | |
Dr. Sai Bhaskara Srinivas Sajja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2805 Fax: 570-321-2806 | |
Scott Croll, Surgery Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 1003, Williamsport, PA 17701 Phone: 570-321-3160 | |
Karla Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 703-268-5505 |