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NPI Code Detail

MEDICARE: DR. DAVID M ENGLE M.D.

MEDICARE:  DR. DAVID M ENGLE  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
1207Q00000XFamily Medicine PhysicianMD422779PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457356826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M ENGLE M.D.
Provider Business Mailing Address
First Line : 409 S 2ND ST
Second Line : STE 2F
City : HARRISBURG
State : PA
Zip : 17104-1612
Country : US
Telephone Number : 717-867-4671
Fax Number : 717-867-4981
Provider Business Practice Location Address
First Line : 1251 E MAIN ST
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1643
Country : US
Telephone Number : 717-867-4671
Fax Number : 717-867-4981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 12/12/2020

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Directions to “ DR. DAVID M ENGLE M.D.” Practice Location

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