| Dr. Albert M. Stush, Jr. | |
|
142 Farley Cir Lewisburg PA 17837-9243 | |
| (570) 524-9866 | |
| (570) 524-9188 |
| Full Name | Dr. Albert M. Stush, Jr. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 142 Farley Cir, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Albert Michael Stush (ORTHODONTIST) |
| Authorized Official Contact | 5705249866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Albert M. Stush, Jr. 142 Farley Cir Lewisburg PA 17837-9243 Ph: (570) 524-9866 | Dr. Albert M. Stush, Jr. 142 Farley Cir Lewisburg PA 17837-9243 Ph: (570) 524-9866 |
| NPI Number | 1194856278 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194856278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS021310L (Pennsylvania) | Primary |
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