Healthcare Provider Details

I. General information

NPI: 1720998818
Provider Name (Legal Business Name): CLINICAL SPECIALTY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 HARRISBURG PIKE
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

555 N DUKE STREET - ATN MELISSA PAULIN
LANCASTER PA
17604-3555
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-9400
  • Fax: 717-544-9401
Mailing address:
  • Phone: 717-544-7279
  • Fax: 717-544-4296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: STACY GRECO
Title or Position: SR ENROLLMENT MANAGER
Credential:
Phone: 223-341-8516