| Sweet Family Practice Pc -fp Program | |
|
Route 6 Golden Mile Ste 341 Wysox PA 18854-0341 | |
| (570) 268-6400 | |
| (570) 268-6401 |
| Full Name | Sweet Family Practice Pc -fp Program |
|---|---|
| Speciality | Clinic/center |
| Location | Route 6 Golden Mile, Wysox, Pennsylvania |
| Authorized Official Name and Position | Constance Sweet (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5702686400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Family Practice Pc -fp Program Route 6 Golden Mile Ste 341 Wysox PA 18854-0341 Ph: (570) 268-6400 | Sweet Family Practice Pc -fp Program Route 6 Golden Mile Ste 341 Wysox PA 18854-0341 Ph: (570) 268-6400 |
| NPI Number | 1760648455 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760648455 | NPI | - | NPPES |
| 1014577730002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD061835L (Pennsylvania) | Primary |
Sweet Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Golden Mile Box 341, Wysox, PA 18854 Phone: 570-268-6400 Fax: 570-268-6401 |