institution
Angelray Family Medical Llc
Primary Care Clinic/Center in Mahanoy City, Pennsylvania
NPI 1952681074

Angelray Family Medical Llc is a Primary Care Clinic/Center based in Mahanoy City, PA and is specialized in Primary Care. Angelray Family Medical Llc practices in Mahanoy City, PA. The NPI Number for Angelray Family Medical Llc is 1952681074 and holds a License No. SP009671 (Pennsylvania).

The current practice location address for Angelray Family Medical Llc is 215 W Centre St, Mahanoy City, PA and can be reached out via phone at 570-590-2573.

Location: 215 W Centre St, Mahanoy City, PA, 17948-2505
institution
Provider Profile Details
NPI Number
1952681074
Provider Name
Angelray Family Medical Llc
Credential
Provider Entity Type
Organization
Address
215 W Centre St, Mahanoy City, PA, 17948-2505
Phone Number
570-590-2573
Fax Number
Provider Enumeration Date
08/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1021574590001 05 PA
1104094291 01 PA INDIVIDUAL PROVIDER NPI
11974651 01 PA CAQH PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
215 W Centre St
City
State
Zip
17948-2505
Phone Number
570-590-2573
Fax Number
person
Provider Business Mailing Address Details
Address
215 W Centre St
City
State
Zip
17948-2505
Phone Number
570-590-2573
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
SP009671 (Pennsylvania)
Definition
Definition to come...
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