Lackawanna Emergency Group PC

NPI #1184962961 in Scranton, Pennsylvania

Provider Information

NPI Number: 1184962961
Entity Type: Organization
Organization Name: Lackawanna Emergency Group PC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 29, 2013
Last Updated: Jan 29, 2013

Practice Location

Address: 700 QUINCY AVE
City: Scranton
State: Pennsylvania
ZIP Code: 18510-1724
Phone: (800) 893-9698

Authorized Official

Name: SYLVAN M WALLER, MD
Title: PRESIDENT
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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