| Dingmans Medical | |
|
1592 Route 739 Dingmans Ferry PA 18328-3477 | |
| (570) 828-8000 | |
| (570) 828-6928 |
| Full Name | Dingmans Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 1592 Route 739, Dingmans Ferry, Pennsylvania |
| Authorized Official Name and Position | Lisa Pathak (OWNER) |
| Authorized Official Contact | 5708288000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dingmans Medical 1592 Route 739 Dingmans Ferry PA 18328-3477 Ph: (570) 828-8000 | Dingmans Medical 1592 Route 739 Dingmans Ferry PA 18328-3477 Ph: (570) 828-8000 |
| NPI Number | 1841431418 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Medicare PECOS PAC ID | 8527111087 |
|---|---|
| Medicare Enrollment ID | O20090730000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841431418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD423073 (Pennsylvania) | Primary |
| Provider Name | Lisa Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609868314 PECOS PAC ID: 5496651754 Enrollment ID: I20031209000432 |
| Provider Name | Ketan Desai |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689809535 PECOS PAC ID: 9830387125 Enrollment ID: I20101230001057 |
| Provider Name | Cathleen D Mattos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962519173 PECOS PAC ID: 7012236755 Enrollment ID: I20150501000564 |
Colonial Intermediate Unit 20 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Route 739, Dingmans Ferry, PA 18328 Phone: 610-515-6439 | |
Colonial Intermediate Unit 20 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 Route 739, Dingmans Ferry, PA 18328 Phone: 610-515-6439 | |
Colonial Intermediate Unit 20 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1365 Route 739, Dingmans Ferry, PA 18328 Phone: 610-515-6439 |