=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821128158
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KEYSTONE MEDICAL ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2007
-----------------------------------------------------
Last Update Date | 07/26/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 118 PLEASANT ACRES RD
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17402-8975
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-840-7124
-----------------------------------------------------
Fax | 717-840-2376
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 118 PLEASANT ACRES RD
-----------------------------------------------------
City | YORK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17402-8975
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-840-7124
-----------------------------------------------------
Fax | 717-840-2376
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | DR. MICHAEL DAVID TORCHIA
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 717-951-0189
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207QG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------