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NPI Code Detail

MEDICARE: DR. LINDA B GRISKA M.D.

MEDICARE: DR. LINDA B GRISKA M.D.
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
12085R0202XDiagnostic Radiology PhysicianMD014755LPA

General Provider Information

NPI Number : 1346238987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA B GRISKA M.D.
Provider Business Mailing Address
First Line : 2501 OREGON PIKE
Second Line : SUITE 101
City : LANCASTER
State : PA
Zip : 17601-4890
Country : US
Telephone Number : 717-293-3223
Fax Number : 717-390-2455
Provider Business Practice Location Address
First Line : 1244 FORT WASHINGTON AVE
Second Line : SUITE I
City : FORT WASHINGTON
State : PA
Zip : 19034-1743
Country : US
Telephone Number : 215-542-1247
Fax Number : 215-542-7936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 09/07/2023

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