| Wyoming Valley Family Practice Residency Program | |
|
2 Sharpe St Kingston PA 18704-3715 | |
| (570) 552-8900 | |
| (570) 552-8958 |
| Full Name | Wyoming Valley Family Practice Residency Program |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Sharpe St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Richard B English (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5705528900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Valley Family Practice Residency Program 2 Sharpe St Kingston PA 18704-3715 Ph: (570) 552-8900 | Wyoming Valley Family Practice Residency Program 2 Sharpe St Kingston PA 18704-3715 Ph: (570) 552-8900 |
| NPI Number | 1316978885 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316978885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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