Scranton Temple Residency Program Faculty Service

NPI 1164439006 - Internal Medicine - 207R00000X

NPI Details
NPI 1164439006
Enumeration Date 08/02/2006
Last Updated 07/24/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ELIDORU ELIDORU
Position CHIEF FINANCIAL OFFICER
Phone (570) 383-9934
Fax (570) 383-6258
Practice Location
5 S. WASHINGTON AVE
JERMYN PA, 18433, US
Phone (570) 383-9934
Fax (570) 383-6258
Business Location
746 JEFFERSON AVENUE
SCRANTON PA, 18510, US
Phone (570) 343-2383
Fax (570) 963-6133
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number SP007899
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According to our database, Scranton Temple Residency Program Faculty Service NPI is 1164439006, taxonomy code is 207R00000X and license number is SP007899, license state is located at Pennsylvania. Scranton Temple Residency Program Faculty Service physically located at 5 S. Washington Ave, Jermyn PA, 18433. NPI Number 1033115704 has the healthcare provider type.

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1164439006 NPI number is provided on an as is basis without warranty of any kind. 1164439006 is maintained by the National Plan & Provider Enumeration System. The contents of Scranton Temple Residency Program Faculty Service are for informational purposes only.