Wayne Memorial Community Health Centers

NPI #1336416619 in Carbondale, Pennsylvania

Provider Information

NPI Number: 1336416619
Entity Type: Organization
Organization Name: Wayne Memorial Community Health Centers
Primary Specialty: Pediatrics
Enumeration Date: Nov 30, 2011
Last Updated: Nov 30, 2011

Practice Location

Address: 152 BROOKLYN ST
City: Carbondale
State: Pennsylvania
ZIP Code: 18407-2208
Phone: (570) 282-2031

Authorized Official

Name: FREDERICK JACKSON
Title: EXECUTIVE DIRECTOR
Phone: (570) 253-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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