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NPI Code Detail

MEDICARE: CONESTOGA VIEW ASSOCIATES

MEDICARE: CONESTOGA VIEW ASSOCIATES
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 Physician

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 : 1174640999
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONESTOGA VIEW ASSOCIATES
Provider Business Mailing Address
First Line : 900 E KING ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-3272
Country : US
Telephone Number : 717-600-2815
Fax Number :
Provider Business Practice Location Address
First Line : 900 E KING ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-3272
Country : US
Telephone Number : 717-600-2815
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ROBERT G SHULTZ
Credential : M.D.
Telephone Number : 717-393-5891
Provider Enumeration Date : 03/25/2007
Last Update Date : 08/22/2020

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Directions to “CONESTOGA VIEW ASSOCIATES ” Practice Location

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