| Whites Crossing Medical Group Inc | |
|
37 Honesdale Rd Carbondale PA 18407-1431 | |
| (570) 282-2456 | |
| (570) 282-9114 |
| Full Name | Whites Crossing Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 37 Honesdale Rd, Carbondale, Pennsylvania |
| Authorized Official Name and Position | Robert T Duplessis (PRESIDENT/COO) |
| Authorized Official Contact | 5702822456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whites Crossing Medical Group Inc 37 Honesdale Rd Carbondale PA 18407-1431 Ph: (570) 282-2456 | Whites Crossing Medical Group Inc 37 Honesdale Rd Carbondale PA 18407-1431 Ph: (570) 282-2456 |
| NPI Number | 1649242660 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649242660 | NPI | - | NPPES |
| 100776986 | Medicaid | PA |
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