Cleanslate Medical Group of Pennsylvania LLC
NPI #1184177263 in Wilkes Barre, Pennsylvania
Provider Information
- NPI Number
- 1184177263
- Entity Type
- Organization
- Organization Name
- Cleanslate Medical Group of Pennsylvania LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 26, 2016
- Last Updated
- Dec 17, 2025
Practice Location
- Address
- 100 N WILKES BARRE BLVD STE 103
- City
- Wilkes Barre
- State
- Pennsylvania
- ZIP Code
- 18702-5240
- Phone
- (413) 584-2173
Authorized Official
- Name
- MATTHEW PHILIP SMOLAREK
- Title
- CFO
- Phone
- (412) 999-5188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Addiction Medicine — Addiction Medicine |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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