Susan F Sordoni, Md, Pc | |
250 Pierce St Suite 115 Kingston PA 18704-5149 | |
(570) 714-2999 | |
(570) 714-2903 |
Full Name | Susan F Sordoni, Md, Pc |
---|---|
Speciality | Clinic/center |
Location | 250 Pierce St, Kingston, Pennsylvania |
Authorized Official Name and Position | Susan F Sordoni (PRESIDENT) |
Authorized Official Contact | 5707142999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan F Sordoni, Md, Pc 250 Pierce St Suite 115 Kingston PA 18704-5149 Ph: (570) 714-2999 | Susan F Sordoni, Md, Pc 250 Pierce St Suite 115 Kingston PA 18704-5149 Ph: (570) 714-2999 |
NPI Number | 1104009711 |
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Provider Enumeration Date | 12/06/2007 |
Last Update Date | 04/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104009711 | NPI | - | NPPES |
0018304560003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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