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NPI Code Detail

MEDICARE: MARIE JAMIE FLUKE PA-C

MEDICARE: MARIE JAMIE FLUKE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA054093PA

General Provider Information

NPI Number : 1326371865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE JAMIE FLUKE PA-C
Provider Business Mailing Address
First Line : 7096 DECATUR ST
Second Line :
City : NEW TRIPOLI
State : PA
Zip : 18066
Country : US
Telephone Number : 610-298-8521
Fax Number : 610-298-3021
Provider Business Practice Location Address
First Line : 7096 DECATUR ST
Second Line :
City : NEW TRIPOLI
State : PA
Zip : 18066-3815
Country : US
Telephone Number : 610-298-8521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 04/12/2013

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Directions to “ MARIE JAMIE FLUKE PA-C” Practice Location

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