is a Specialist in Kingston, Pennsylvania. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1376693580. The last update date is .
's current location address is 445 Wyoming Ave, Kingston, Pennsylvania. You can contact this provider via phone number 5707180520 and fax number 5707180522. The mailing address for is 445 Wyoming Ave, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 445 Wyoming Ave, Kingston, Pennsylvania |
Phone Number | 5707180520 |
Fax Number | 5707180522 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1376693580 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 445 Wyoming Ave |
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City | Kingston |
State | Pennsylvania (PA) |
Post Code | 187043601 |
Phone Number | 5707180520 |
Fax Number | 5707180522 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MD418103 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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