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Contact Information

BLUE MOUNTAIN REGENERATIVE MEDICINE PLLC
124 E MAIN ST.
FREDERICKSBURG, PA17026-0152
 Phone: 717-507-4469
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical Specialty

261QM2500X
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BLUE MOUNTAIN REGENERATIVE MEDICINE PLLC · (Female)

NPI Number 1205434370
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2020
Last updated 10/15/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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