Eastern Poconos Internal Medicine | |
6977 Route 611 Olympia Plaza Stroudsburg PA 18360-9166 | |
(570) 424-2025 | |
(570) 424-2028 |
Full Name | Eastern Poconos Internal Medicine |
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Speciality | Internal Medicine |
Location | 6977 Route 611 Olympia Plaza, Stroudsburg, Pennsylvania |
Authorized Official Name and Position | Sethuraman Muthiah (OWNER/MEDICAL DOCTOR) |
Authorized Official Contact | 5704242025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eastern Poconos Internal Medicine 6977 Route 611 Olympia Plaza Stroudsburg PA 18360-9166 Ph: (570) 424-2025 | Eastern Poconos Internal Medicine 6977 Route 611 Olympia Plaza Stroudsburg PA 18360-9166 Ph: (570) 424-2025 |
NPI Number | 1043580087 |
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Provider Enumeration Date | 01/09/2012 |
Last Update Date | 01/09/2012 |
Identifier | Type | State | Issuer |
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1043580087 | NPI | - | NPPES |
001663400 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD062954L (Pennsylvania) | Primary |
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