| Excellence Diabetes Endocrinology & Metabolism Center Llc | |
|
1000 N Front St Suite 400 Wormleysburg PA 17043-1034 | |
| (717) 695-6741 | |
| (717) 695-6768 |
| Full Name | Excellence Diabetes Endocrinology & Metabolism Center Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1000 N Front St, Wormleysburg, Pennsylvania |
| Authorized Official Name and Position | Wilfred M Victorina (OWNER) |
| Authorized Official Contact | 8594961803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Diabetes Endocrinology & Metabolism Center Llc 1000 N Front St Suite 400 Wormleysburg PA 17043-1034 Ph: (717) 695-6741 | Excellence Diabetes Endocrinology & Metabolism Center Llc 1000 N Front St Suite 400 Wormleysburg PA 17043-1034 Ph: (717) 695-6741 |
| NPI Number | 1295969913 |
|---|---|
| Provider Enumeration Date | 05/09/2009 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295969913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD432714 (Pennsylvania) | Primary |
Sage Integrative Medicine & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Mumma Rd Ste 200, Wormleysburg, PA 17043 Phone: 717-775-8100 |