Provider Demographics
NPI:1922061605
Name:WINER & HARVEY SURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:WINER & HARVEY SURGICAL ASSOCIATES
Other - Org Name:HARVEY SURGICAL ASSOCIATES LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-273-3758
Mailing Address - Street 1:229 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-6158
Mailing Address - Country:US
Mailing Address - Phone:717-273-3758
Mailing Address - Fax:717-272-1734
Practice Address - Street 1:229 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-6158
Practice Address - Country:US
Practice Address - Phone:717-273-3758
Practice Address - Fax:717-272-1734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
183586Medicare PIN