Provider Demographics
NPI:1588651475
Name:ACRI INTERNAL MEDICINE SERVICES, LLC
Entity Type:Organization
Organization Name:ACRI INTERNAL MEDICINE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ACRI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-943-0445
Mailing Address - Street 1:243 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-3604
Mailing Address - Country:US
Mailing Address - Phone:717-943-0554
Mailing Address - Fax:
Practice Address - Street 1:689 YORKTOWN RD
Practice Address - Street 2:SUITE C
Practice Address - City:LEWISBERRY
Practice Address - State:PA
Practice Address - Zip Code:17339-9258
Practice Address - Country:US
Practice Address - Phone:717-943-0445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009263L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty