Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2489 Us Route 6, Hawley, Pennsylvania |
Authorized Official Name and Position | Ethan Arthur Singer (PRESIDENT) |
Authorized Official Contact | 5702262200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2489 Route 6 Suite 7 Hawley PA 18428-6078 Ph: (570) 226-2200 | 2489 Us Route 6 Hawley PA 18428 Ph: (570) 226-2200 |
NPI Number | 1518363688 |
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Provider Enumeration Date | 11/17/2014 |
Last Update Date | 11/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518363688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | TP003863B (Pennsylvania) | Primary |
Keystone Family Practice Of Hawley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Main Ave, Hawley, PA 18428 Phone: 570-226-6077 | |