Basic Information
| Provider Information | |||||||||
| NPI: | 1922061605 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WINER & HARVEY SURGICAL ASSOCIATES | ||||||||
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| OtherOrganizationName: | HARVEY SURGICAL ASSOCIATES LTD | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 229 S 4TH ST | ||||||||
| Address2: | |||||||||
| City: | LEBANON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170426158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172733758 | ||||||||
| FaxNumber: | 7172721734 | ||||||||
| Practice Location | |||||||||
| Address1: | 229 S 4TH ST | ||||||||
| Address2: | |||||||||
| City: | LEBANON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170426158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172733758 | ||||||||
| FaxNumber: | 7172721734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2006 | ||||||||
| LastUpdateDate: | 11/05/2008 | ||||||||
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| AuthorizedOfficialLastName: | SIMPSON | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7172733758 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | PA | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.