| Transformations Adult & Geriatric Psychiatry Pc | |
|
1141 Clay Ave Ste 3 Dunmore PA 18510-1191 | |
| (570) 989-1921 | |
| (877) 511-8663 |
| Full Name | Transformations Adult & Geriatric Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1141 Clay Ave Ste 3, Dunmore, Pennsylvania |
| Authorized Official Name and Position | Ashok Bharucha (CEO) |
| Authorized Official Contact | 5709891921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations Adult & Geriatric Psychiatry Pc 1141 Clay Ave Ste 3 Dunmore PA 18510-1191 Ph: (570) 989-1921 | Transformations Adult & Geriatric Psychiatry Pc 1141 Clay Ave Ste 3 Dunmore PA 18510-1191 Ph: (570) 989-1921 |
| NPI Number | 1265018717 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 07/20/2023 |
| Certification Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265018717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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