| Mo Medical Management Inc. | |
|
675 Wyoming Avenue Kingston PA 18704-3831 | |
| (570) 288-4205 | |
| (570) 288-4889 |
| Full Name | Mo Medical Management Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 675 Wyoming Avenue, Kingston, Pennsylvania |
| Authorized Official Name and Position | Philip James Mertz (PRESIDENT) |
| Authorized Official Contact | 5702884205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mo Medical Management Inc. 675 Wyoming Avenue Kingston PA 18704-3831 Ph: (570) 288-4205 | Mo Medical Management Inc. 675 Wyoming Avenue Kingston PA 18704-3831 Ph: (570) 288-4205 |
| NPI Number | 1083161970 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083161970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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