| Coaldale Cardiology, Inc. | |
|
360 W Ruddle St Coaldale PA 18218-1027 | |
| (570) 645-0495 | |
| (570) 645-0497 |
| Full Name | Coaldale Cardiology, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 W Ruddle St, Coaldale, Pennsylvania |
| Authorized Official Name and Position | Robert L Dejoseph (DIRECTOR) |
| Authorized Official Contact | 5706450495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coaldale Cardiology, Inc. 360 W Ruddle St Coaldale PA 18218-1027 Ph: (570) 645-0495 | Coaldale Cardiology, Inc. 360 W Ruddle St Coaldale PA 18218-1027 Ph: (570) 645-0495 |
| NPI Number | 1710987219 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710987219 | NPI | - | NPPES |
| 1008165260001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD015292E (Pennsylvania) | Primary |
St. Luke's Family Medicine Coaldale Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 W Phillips St, Coaldale, PA 18218 Phone: 570-645-2184 | |
Dilliswar Sahoo Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 W Phillips St, Coaldale, PA 18218 Phone: 570-645-2184 Fax: 570-645-3297 | |
St. Luke's Internal Medicine Miners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 W Ruddle St, Suite 800, Coaldale, PA 18218 Phone: 570-645-1499 |