Provider Demographics
NPI:1124396452
Name:DEARMENT ENDOCRINOLOGY LLC
Entity Type:Organization
Organization Name:DEARMENT ENDOCRINOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENA
Authorized Official - Middle Name:CUNARD
Authorized Official - Last Name:DEARMENT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-303-3588
Mailing Address - Street 1:875 POPLAR CHURCH RD STE 340
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2203
Mailing Address - Country:US
Mailing Address - Phone:717-303-3588
Mailing Address - Fax:717-303-3589
Practice Address - Street 1:875 POPLAR CHURCH RD STE 340
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2203
Practice Address - Country:US
Practice Address - Phone:717-303-3588
Practice Address - Fax:717-303-3589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty