| Scranton Temple Residency Program Faculty Service | |
|
5 S. Washington Ave Jermyn PA 18433 | |
| (570) 383-9934 | |
| (570) 383-6258 |
| Full Name | Scranton Temple Residency Program Faculty Service |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 S. Washington Ave, Jermyn, Pennsylvania |
| Authorized Official Name and Position | Elidoru Primpro (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5709410630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scranton Temple Residency Program Faculty Service 746 Jefferson Avenue Scranton PA 18510 Ph: (570) 343-2383 | Scranton Temple Residency Program Faculty Service 5 S. Washington Ave Jermyn PA 18433 Ph: (570) 383-9934 |
| NPI Number | 1164439006 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164439006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | SP007899 (Pennsylvania) | Primary |
Community Health Hub Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 S Washington Ave, Jermyn, PA 18433 Phone: 570-383-9934 Fax: 570-230-0023 |