| Jude F. Sidari, M.d., Pc | |
|
235 W Chestnut St Hazleton PA 18201-6230 | |
| (570) 455-3339 | |
| (570) 455-2939 |
| Full Name | Jude F. Sidari, M.d., Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 235 W Chestnut St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Jude Francis Sidari (PRESIDENT) |
| Authorized Official Contact | 5704553339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jude F. Sidari, M.d., Pc 235 W Chestnut St Hazleton PA 18201-6230 Ph: (570) 455-3339 | Jude F. Sidari, M.d., Pc 235 W Chestnut St Hazleton PA 18201-6230 Ph: (570) 455-3339 |
| NPI Number | 1871736967 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 03/14/2016 |
| Medicare PECOS PAC ID | 0446308514 |
|---|---|
| Medicare Enrollment ID | O20090429000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871736967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD040325L (Pennsylvania) | Primary |
| Provider Name | Jude F Sidari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700825452 PECOS PAC ID: 9032267372 Enrollment ID: I20090427000028 |
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