NPI 1104058338

Gaudenzia INC

Organisation Clinic/Center Pottsville, PA

Practice location

Address: 1 S 2nd St 4th Floor, Pottsville, PA 17901-3174
Phone: (570) 622-6485
Fax: (570) 622-2422
Mailing address: 106 W Main St, Norristown, PA 19401-4716

Authorised official

Name: Mike Williams
Title: Sr. Contracting Manager
Phone: (484) 338-3731

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 547027 (PA)

Other Clinic/Center providers in Pennsylvania →

Registry record

NPI: 1104058338
Entity type: Organization
NPI issued: 21 Aug 2009
Record last updated: 24 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.