Healthcare Provider Details

I. General information

NPI: 1326100256
Provider Name (Legal Business Name): SPRINGDALE INTERNAL MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 01/13/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 E MAIN ST SUITE 5
WAYNESBORO PA
17268-2318
US

IV. Provider business mailing address

1051 E MAIN ST SUITE 5
WAYNESBORO PA
17268-2318
US

V. Phone/Fax

Practice location:
  • Phone: 717-762-9981
  • Fax: 717-762-9983
Mailing address:
  • Phone: 717-762-9981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHO CHO
Title or Position: MD
Credential: MD
Phone: 717-762-9981