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NPI Code Detail

MEDICARE: THE REHABILITATION MEDICINE TEAM, PC

MEDICARE: THE REHABILITATION MEDICINE TEAM, PC
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
1174400000XSpecialistMD044026EPA

General Provider Information

NPI Number : 1396759296
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE REHABILITATION MEDICINE TEAM, PC
Provider Business Mailing Address
First Line : PO BOX 126638
Second Line :
City : HARRISBURG
State : PA
Zip : 17112-6638
Country : US
Telephone Number : 717-991-5030
Fax Number : 717-540-0845
Provider Business Practice Location Address
First Line : 4518 UNION DEPOSIT RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17111-2921
Country : US
Telephone Number : 717-991-5030
Fax Number : 717-540-0845
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER SCOTT CANNON
Credential : MD
Telephone Number : 717-991-5030
Provider Enumeration Date : 07/28/2006
Last Update Date : 09/06/2007

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Directions to “THE REHABILITATION MEDICINE TEAM, PC ” Practice Location

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