Colonial Intermediate Unit 20

NPI 1083736367 - Clinic/Center - 261QM0855X

NPI Details
NPI 1083736367
Enumeration Date 04/06/2007
Last Updated 05/06/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLENE M CHARLENE
Position EXECUTIVE DIRECTOR
Phone (610) 515-6477
Fax (610) 515-6457
Practice Location
1110 W MAIN ST
STROUDSBURG HIGH SCHOOL
STROUDSBURG PA, 18360-1397, US
Phone (610) 515-6477
Fax (610) 515-6457
Business Location
6 DANFORTH DR
EASTON PA, 18045-7899, US
Phone (610) 252-5550
Fax (610) 515-6524
Toxanomy
Taxonomy Code 261QM0855X
License State Pennsylvania
License Number 235100
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According to our database, Colonial Intermediate Unit 20 NPI is 1083736367, taxonomy code is 261QM0855X and license number is 235100, license state is located at Pennsylvania. Colonial Intermediate Unit 20 physically located at 1110 W Main St, Stroudsburg PA, 18360-1397. NPI Number 1033115704 has the healthcare provider type.

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1083736367 NPI number is provided on an as is basis without warranty of any kind. 1083736367 is maintained by the National Plan & Provider Enumeration System. The contents of Colonial Intermediate Unit 20 are for informational purposes only.