MEDICARE: ALBERT J KNOUSE JR. MD

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
1	207Q00000X	Family Medicine Physician	MD043663L	PA

General Provider Information

NPI Number	:	1871553842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT J KNOUSE JR. MD

Provider Business Mailing Address
First Line	:	7 DOCK HILL RD
Second Line	:
City	:	MIDDLEBURG
State	:	PA
Zip	:	17842-8910
Country	:	US
Telephone Number	:	570-837-2123
Fax Number	:	570-837-2185

Provider Business Practice Location Address
First Line	:	46 RED HILL CT
Second Line	:
City	:	NEWPORT
State	:	PA
Zip	:	17074-8706
Country	:	US
Telephone Number	:	717-567-3151
Fax Number	:	717-567-7571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	08/01/2024

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