| 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 | Family Medicine |
| Location | 250 Pierce St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Susan F. Sordoni (FAMILY PRACTICE PHYSICIAN) |
| 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 Po Box 1164 Kingston PA 18704-0164 Ph: (570) 714-2999 | Susan F. Sordoni, Md Pc 250 Pierce St Suite 115 Kingston PA 18704-5149 Ph: (570) 714-2999 |
| NPI Number | 1972708857 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 07/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972708857 | NPI | - | NPPES |
| 1058606 | Other | PA | AETNA MC ADVANTAGE & HMO |
| 0018304560003 | Other | PA | MED PLUS 3 RIVERS UNASYN |
| 61056770 | Other | PA | DEPARTMENT OF LABOR |
| 0018304560003 | Medicaid | PA | |
| 7822738 | Other | PA | AETNA PPL |
| 002782 | Other | PA | FIRST PRIORITY |
| 193973 | Other | PA | BLUE CROSS BLUE SHIELD |
| 60162 | Other | PA | GEISINGER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD072550L (Pennsylvania) | Primary |
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