| Gaudenzia Inc | |
|
201 E Main St Middleburg PA 17842-1148 | |
| (570) 837-2208 | |
| Not Available |
| Full Name | Gaudenzia Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 201 E Main St, Middleburg, Pennsylvania |
| Authorized Official Name and Position | Michael J Moyle (DIR. OF FISCAL & CORPORATE OPERATIO) |
| Authorized Official Contact | 6102399600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaudenzia Inc 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Inc 201 E Main St Middleburg PA 17842-1148 Ph: (570) 837-2208 |
| NPI Number | 1962649913 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 01/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962649913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 557053 (Pennsylvania) | Primary |