Portland Medical Center, PC
NPI #1598886616 in Portland, Pennsylvania
Provider Information
- NPI Number
- 1598886616
- Entity Type
- Organization
- Organization Name
- Portland Medical Center, PC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 716 DELAWARE AVENUE
- City
- Portland
- State
- Pennsylvania
- ZIP Code
- 18351-0358
- Phone
- (570) 897-6272
Authorized Official
- Name
- RAYMOND DECESARE, D.O.
- Title
- PRESIDENT
- Phone
- (570) 897-6272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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