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Contact Information

GOOD SAMARITAN PHYSICIAN SERVICES
840 TUCK ST
LEBANON, PA17042-7477
 Phone: 717-675-2545
 Fax: 717-675-2550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for GOOD SAMARITAN PHYSICIAN SERVICES · (Female)

NPI Number 1598007783
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2013
Last updated 10/04/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 001864024
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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