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2872 Turnpike St Susquehanna PA 18847-2771 | |
(570) 853-3135 | |
(570) 853-3008 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2872 Turnpike St, Susquehanna, Pennsylvania |
Authorized Official Name and Position | Sara Francis Adornato (DIRECTOR OF FINANCE) |
Authorized Official Contact | 5708533135 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2872 Turnpike St Susquehanna PA 18847-2771 Ph: (570) 853-3135 | 2872 Turnpike St Susquehanna PA 18847-2771 Ph: (570) 853-3135 |
NPI Number | 1821239385 |
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Provider Enumeration Date | 03/13/2009 |
Last Update Date | 07/14/2010 |
Medicare PECOS PAC ID | 1355318635 |
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Medicare Enrollment ID | O20120323000181 |
Identifier | Type | State | Issuer |
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1821239385 | NPI | - | NPPES |
1007276220031 | Other | PA | MA ID |