Dr Michael G Gilhooley Llc | |
821 Oak St Unit 1 Scranton PA 18508-1260 | |
(570) 703-0539 | |
Not Available |
Full Name | Dr Michael G Gilhooley Llc |
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Speciality | Internal Medicine |
Location | 821 Oak St Unit 1, Scranton, Pennsylvania |
Authorized Official Name and Position | Michael G Gilhooley (OWNER) |
Authorized Official Contact | 5707030539 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Michael G Gilhooley Llc 821 Oak St Unit 1 Scranton PA 18508-1260 Ph: (570) 703-0539 | Dr Michael G Gilhooley Llc 821 Oak St Unit 1 Scranton PA 18508-1260 Ph: (570) 703-0539 |
NPI Number | 1720665821 |
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Provider Enumeration Date | 03/25/2021 |
Last Update Date | 06/19/2023 |
Medicare PECOS PAC ID | 6800204397 |
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Medicare Enrollment ID | O20210422000497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720665821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael G Gilhooley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093751034 PECOS PAC ID: 2365487535 Enrollment ID: I20050628000570 |
Provider Name | Allison Lyavdansky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891345971 PECOS PAC ID: 2769814896 Enrollment ID: I20191112000523 |
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