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208 Lifeline Rd Suite 203 Stroudsburg PA 18360-6473 | |
(484) 526-4999 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 208 Lifeline Rd, Stroudsburg, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 4845264991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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208 Lifeline Rd Suite 203 Stroudsburg PA 18360-6473 Ph: () - | 208 Lifeline Rd Suite 203 Stroudsburg PA 18360-6473 Ph: (484) 526-4999 |
NPI Number | 1629489562 |
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Provider Enumeration Date | 05/14/2014 |
Last Update Date | 05/14/2014 |
Identifier | Type | State | Issuer |
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1629489562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD065140L (Pennsylvania) | Primary |
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