Hart Medical Center,inc | |
476 Hazle St Wilkes Barre PA 18702-4646 | |
(570) 825-5530 | |
(570) 822-9236 |
Full Name | Hart Medical Center,inc |
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Speciality | Family Medicine |
Location | 476 Hazle St, Wilkes Barre, Pennsylvania |
Authorized Official Name and Position | Patrick Joseph Kerrigan (FAMILY PHYSICAN) |
Authorized Official Contact | 5708255530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hart Medical Center,inc 476 Hazle Street Wilkes Barre PA 18702 Ph: (570) 825-5530 | Hart Medical Center,inc 476 Hazle St Wilkes Barre PA 18702-4646 Ph: (570) 825-5530 |
NPI Number | 1144493065 |
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Provider Enumeration Date | 04/11/2008 |
Last Update Date | 09/16/2013 |
Medicare PECOS PAC ID | 8022197573 |
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Medicare Enrollment ID | O20080508000492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144493065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS005560L (Pennsylvania) | Primary |
Provider Name | Patrick Joseph Kerrigan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659471910 PECOS PAC ID: 3577646801 Enrollment ID: I20080418000111 |
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