Organization Name: | GOOD SAMARITAN PHYSICIAN SERVICES |
NPI Number: | 1316076961 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODY M BOGER (CREDENTIALING COORDINATOR) |
Mailing Address: | 30 N 4th St 2nd Floor Lebanon |
State: | PA US |
Postal Code: | 170465606 |
Phone Number: | 7172740474 |
Fax Number: | 7172740673 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |