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NPI Code Detail

MEDICARE: ELIZABETH FERG

MEDICARE:   ELIZABETH  FERG
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
1363AM0700XMedical Physician AssistantMA064792PA
2363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1669151437
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH FERG
Provider Business Mailing Address
First Line : 2030 THISTLE HILL DR
Second Line :
City : SPRING GROVE
State : PA
Zip : 17362-1159
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2030 THISTLE HILL DR
Second Line :
City : SPRING GROVE
State : PA
Zip : 17362-1159
Country : US
Telephone Number : 717-225-9869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 11/09/2023

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Directions to “ ELIZABETH FERG ” Practice Location

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