Lackawanna Medical Group Pc in Scranton - Cardiovascular Disease
Lackawanna Medical Group Pc - NPI 1770650962
Lackawanna Medical Group Pc is a Cardiovascular Disease in Scranton, Pennsylvania. Lackawanna Medical Group Pc practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Lackawanna Medical Group Pc is 1770650962. The last update date is 2016-03-03.
Lackawanna Medical Group Pc's current location address is 201 Smallacombe Dr, Scranton, Pennsylvania. You can contact this provider via phone number 5709610171 and fax number 5702072411. The mailing address for Lackawanna Medical Group Pc is 201 Smallacombe Dr, Scranton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lackawanna Medical Group Pc |
|---|---|
| Address | 201 Smallacombe Dr, Scranton, Pennsylvania |
| Phone Number | 5709610171 |
| Fax Number | 5702072411 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Grad Thomas Charles |
| Telephone Number | 5703481130 |
NPI Number Detail
| NPI Number | 1770650962 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2016-03-03 |
Provider Mailing Address Detail
| Address | 201 Smallacombe Dr |
|---|---|
| City | Scranton |
| State | Pennsylvania (PA) |
| Post Code | 185082616 |
| Phone Number | 5709610171 |
| Fax Number | 5702072411 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 676727 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lackawanna Medical Group Pc?
The Lackawanna Medical Group Pc has been issued the NPI (National Provider Identifier) 1770650962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lackawanna Medical Group Pc's facilities are situated?
The facilities of Lackawanna Medical Group Pc are physically located at the following address: 201 Smallacombe Dr, Scranton, PA, 185082616.
What is Lackawanna Medical Group Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lackawanna Medical Group Pc is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.
On what date did the Lackawanna Medical Group Pc receive the assignment of its 1770650962 from the Centers for Medicare & Medicaid Services?
The Lackawanna Medical Group Pc was issued its 1770650962 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date was the information regarding Lackawanna Medical Group Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lackawanna Medical Group Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-03.