| Internal Medicine Partners | |
|
812 Shoemaker Ave West Wyoming PA 18644-1120 | |
| (570) 693-4020 | |
| (570) 693-2123 |
| Full Name | Internal Medicine Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 812 Shoemaker Ave, West Wyoming, Pennsylvania |
| Authorized Official Name and Position | Mario Adajar (OWNER) |
| Authorized Official Contact | 5706934020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Partners Po Box 1347 Kingston PA 18704-0347 Ph: (570) 288-8881 | Internal Medicine Partners 812 Shoemaker Ave West Wyoming PA 18644-1120 Ph: (570) 693-4020 |
| NPI Number | 1700065042 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 02/20/2023 |
| Medicare PECOS PAC ID | 1951483841 |
|---|---|
| Medicare Enrollment ID | O20080131000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700065042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD420488 (Pennsylvania) | Primary |
| Provider Name | Mario Lopez Adajar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962476267 PECOS PAC ID: 2365424447 Enrollment ID: I20040602001423 |
| Provider Name | Marie J Adajar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114932829 PECOS PAC ID: 9436249539 Enrollment ID: I20071213000020 |