Provider Demographics
NPI:1639166812
Name:FAMILY/INTERNAL MEDICINE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:FAMILY/INTERNAL MEDICINE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:FERMIN
Authorized Official - Last Name:DELAFUENTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-766-0228
Mailing Address - Street 1:6 MARKET PLAZA WAY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5659
Mailing Address - Country:US
Mailing Address - Phone:717-766-0228
Mailing Address - Fax:
Practice Address - Street 1:6 MARKET PLAZA WAY
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5659
Practice Address - Country:US
Practice Address - Phone:717-766-0228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty