MR. Theodore R. Siskovich, PA-C
NPI #1528302080 in Mountain Top, Pennsylvania
Provider Information
- NPI Number
- 1528302080
- Entity Type
- Individual
- Name
- MR. Theodore R. Siskovich, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 21, 2012
- Last Updated
- Aug 17, 2020
Practice Location
- Address
- 35 S MOUNTAIN BLVD
- City
- Mountain Top
- State
- Pennsylvania
- ZIP Code
- 18707-1122
- Phone
- (570) 474-5847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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