Pittston Medical Associates, Ltd

NPI #1447219431 in Pittston, Pennsylvania

Provider Information

NPI Number: 1447219431
Entity Type: Organization
Organization Name: Pittston Medical Associates, Ltd
Primary Specialty: Internal Medicine
Enumeration Date: Mar 20, 2006
Last Updated: Mar 23, 2011

Practice Location

Address: 1099 S TOWNSHIP BLVD
Address 2: SUITE F
City: Pittston
State: Pennsylvania
ZIP Code: 18640-3247
Phone: (570) 654-6759

Authorized Official

Name: DR. GERALD P GIBBONS JR., MD
Title: PRESIDENT
Phone: (570) 654-6759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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