Waynesboro Medical Associates,llc | |
12104 Buchanan Trail East Waynesboro PA 17268 | |
(717) 749-0150 | |
(717) 749-0153 |
Full Name | Waynesboro Medical Associates,llc |
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Speciality | Clinic/Center |
Location | 12104 Buchanan Trail East, Waynesboro, Pennsylvania |
Authorized Official Name and Position | Jenhanzeb Qureshi (OWNER) |
Authorized Official Contact | 7177490150 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Waynesboro Medical Associates,llc 12104 Buchanan Trail East Waynesboro PA 17268 Ph: (717) 749-0150 | Waynesboro Medical Associates,llc 12104 Buchanan Trail East Waynesboro PA 17268 Ph: (717) 749-0150 |
NPI Number | 1538272646 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 10/06/2008 |
Medicare PECOS PAC ID | 4486646098 |
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Medicare Enrollment ID | O20040402000051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538272646 | NPI | - | NPPES |
001909654000 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD059027-L (Pennsylvania) | Primary |
Provider Name | Jehanzeb Qureshi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871590836 PECOS PAC ID: 1759271497 Enrollment ID: I20040317000785 |
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