Gaudenzia Inc
Organization Active NPI Clinic/Center · Middleburg, PA
NPI 1962649913 · NPPES record last updated Jan 13, 2009
Key facts
- NPI
- 1962649913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 557053 (PA)
- Legal business name
- GAUDENZIA INC
- Practice address
- 201 E Main St
Middleburg, PA 17842-1148 - Phone
- (570) 837-2208
- NPI assigned
- Jan 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael J Moyle, J.D.
- Title
- Dir. of Fiscal & Corporate Operatio
- Phone
- (610) 239-9600
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Gaudenzia
Locations
201 E Main St
Middleburg, PA 17842
Phone (570) 837-2208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 557053 | PA | Yes |
Addresses
Primary practice location
201 E Main St
Middleburg, PA 17842-1148
Mailing address
106 W Main St
Norristown, PA 19401-4716
Phone (610) 239-9600
Other names
- GAUDENZIA AT MIDDLEBURG
Other providers in Middleburg, PA
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All providers in Middleburg, PA · Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.