| Medical Associates Of Northeastern Pennsylvania Pc | |
|
1789 N. Keyser Ave. Scranton PA 18508 | |
| (570) 969-1904 | |
| (570) 969-2916 |
| Full Name | Medical Associates Of Northeastern Pennsylvania Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1789 N. Keyser Ave., Scranton, Pennsylvania |
| Authorized Official Name and Position | Kaylee Pikulski (PRACTICE MANAGER) |
| Authorized Official Contact | 5709691904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Northeastern Pennsylvania Pc 1789 N. Keyser Ave. Scranton PA 18508 Ph: (570) 969-1904 | Medical Associates Of Northeastern Pennsylvania Pc 1789 N. Keyser Ave. Scranton PA 18508 Ph: (570) 969-1904 |
| NPI Number | 1336279173 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336279173 | NPI | - | NPPES |
| 0018171130002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD053580L (Pennsylvania) | Primary |
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