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NPI Code Detail

MEDICARE: BEVERLY ANN DORSEY-FUNK PAC

MEDICARE: BEVERLY ANN DORSEY-FUNK PAC
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 AssistantMA060277PA

General Provider Information

NPI Number : 1841514890
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY ANN DORSEY-FUNK PAC
Provider Business Mailing Address
First Line : 2325 HERITAGE CENTER DR STE 116
Second Line :
City : FURLONG
State : PA
Zip : 18925-1262
Country : US
Telephone Number : 215-794-2462
Fax Number : 215-794-8496
Provider Business Practice Location Address
First Line : 2325 HERITAGE CENTER DR STE 116
Second Line :
City : FURLONG
State : PA
Zip : 18925-1262
Country : US
Telephone Number : 215-794-2462
Fax Number : 215-794-8496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2010
Last Update Date : 02/11/2019

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Directions to “ BEVERLY ANN DORSEY-FUNK PAC” Practice Location

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