Healthcare Provider Details

I. General information

NPI: 1972569911
Provider Name (Legal Business Name): JACK L ARMSTRONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 12/21/2025
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 BENT CREEK BLVD STE 210
MECHANICSBURG PA
17050-1870
US

IV. Provider business mailing address

1700 BENT CREEK BLVD STE 210
MECHANICSBURG PA
17050-1870
US

V. Phone/Fax

Practice location:
  • Phone: 717-243-7540
  • Fax: 717-243-9968
Mailing address:
  • Phone: 717-791-2640
  • Fax: 717-791-2646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD069595L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: