| North Penn Medical Group | |
|
240 N Sherman St Wilkes Barre PA 18702-5316 | |
| (570) 550-2200 | |
| (570) 261-5071 |
| Full Name | North Penn Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 240 N Sherman St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Robert Anthony Dompkosky (OWNER) |
| Authorized Official Contact | 5705502200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Penn Medical Group 123 N Mountain Blvd Mountain Top PA 18707-1148 Ph: (570) 550-2200 | North Penn Medical Group 240 N Sherman St Wilkes Barre PA 18702-5316 Ph: (570) 550-2200 |
| NPI Number | 1558617845 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558617845 | NPI | - | NPPES |
| 01653191 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS009191L (Pennsylvania) | Primary |
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