| Bloomsburg Physicians Services | |
|
410 Glenn Ave Suite 304 Bloomsburg PA 17815-1200 | |
| (570) 387-7676 | |
| (570) 387-7677 |
| Full Name | Bloomsburg Physicians Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 Glenn Ave, Bloomsburg, Pennsylvania |
| Authorized Official Name and Position | Joseph M Devito (CFO) |
| Authorized Official Contact | 5703872148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomsburg Physicians Services 549 Fair St Bloomsburg PA 17815-1419 Ph: (570) 387-2100 | Bloomsburg Physicians Services 410 Glenn Ave Suite 304 Bloomsburg PA 17815-1200 Ph: (570) 387-7676 |
| NPI Number | 1689857070 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689857070 | NPI | - | NPPES |
| 1487886 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD421245 (Pennsylvania) | Primary |
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