Providence Pediatrics, PC

NPI #1265575955 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1265575955
Entity Type: Organization
Organization Name: Providence Pediatrics, PC
Primary Specialty: Pediatrics
Enumeration Date: Feb 14, 2007
Last Updated: Jan 11, 2011

Practice Location

Address: 338 RUSSELL AVENUE
City: Williamsport
State: Pennsylvania
ZIP Code: 17701
Phone: (570) 326-5720

Authorized Official

Name: DR. JOSEPH DEMAY, MD
Title: PRESIDENT
Phone: (570) 326-5720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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