Provider Demographics
NPI:1538504899
Name:ADVANCED FAMILY PRACTICE PC
Entity Type:Organization
Organization Name:ADVANCED FAMILY PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:S
Authorized Official - Last Name:STRUMINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-208-6647
Mailing Address - Street 1:600F EDEN RD
Mailing Address - Street 2:SUITE F2
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4267
Mailing Address - Country:US
Mailing Address - Phone:717-208-6647
Mailing Address - Fax:717-208-6653
Practice Address - Street 1:600F EDEN RD
Practice Address - Street 2:SUITE F2
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4267
Practice Address - Country:US
Practice Address - Phone:717-208-6647
Practice Address - Fax:717-208-6653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPAOS009696L261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care