Organization

Gaudenzia

May also be knows as Gaudenzia Lewisburg Outpatient

Clinic/Center in Lewisburg, PA(View on Map)

Legal Business Name

Gaudenzia

Also Known As

Gaudenzia Lewisburg Outpatient

NPI Number

1487001749

NPI Type

Organization

Enumeration Date

05/17/2016

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Pennsylvania

License Number

607058

Contact
Information

Purpose

Mailing
Location

Address

106 W MAIN ST
480 HAFER RD

City

Norristown
Lewisburg

State

PA
PA

Postal Code

19401-4716
17837-7413

Country

US
US

Telephone Number

(610) 239-9600
(570) 524-3884

Authorized Official

Name

Mike Williams

Title or Position

SR. CONTRACTING MANAGER

Telephone Number

(484) 338-3731

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/16/2022

Provider Address

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