Scranton Temple Residency Program Faculty Service
NPI #1164439006 in Jermyn, Pennsylvania
Provider Information
- NPI Number
- 1164439006
- Entity Type
- Organization
- Organization Name
- Scranton Temple Residency Program Faculty Service
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Jul 24, 2008
Practice Location
- Address
- 5 S. WASHINGTON AVE
- City
- Jermyn
- State
- Pennsylvania
- ZIP Code
- 18433
- Phone
- (570) 383-9934
Authorized Official
- Name
- ELIDORU PRIMPRO
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (570) 941-0630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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