| Mark A Gonsky Do | |
|
111 S Mountain Blvd Mountain Top PA 18707-1921 | |
| (570) 403-5000 | |
| (570) 693-6178 |
| Full Name | Mark A Gonsky Do |
|---|---|
| Speciality | General Practice |
| Location | 111 S Mountain Blvd, Mountain Top, Pennsylvania |
| Authorized Official Name and Position | Mark Gonsky (PHYSICAN) |
| Authorized Official Contact | 5704035000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Gonsky Do 59 Loop Rd Mountain Top PA 18707-1778 Ph: (570) 403-5000 | Mark A Gonsky Do 111 S Mountain Blvd Mountain Top PA 18707-1921 Ph: (570) 403-5000 |
| NPI Number | 1740428689 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740428689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OSOO51O5L (Pennsylvania) | Primary |
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