Medical Profesional Service, PC

NPI #1821136227 in Kingston, Pennsylvania

Provider Information

NPI Number: 1821136227
Entity Type: Organization
Organization Name: Medical Profesional Service, PC
Primary Specialty: General Practice
Enumeration Date: Feb 1, 2007
Last Updated: Oct 22, 2010

Practice Location

Address: 675 WYOMING AVE
City: Kingston
State: Pennsylvania
ZIP Code: 18704-3831
Phone: (570) 288-4205

Authorized Official

Name: DR. PHILIP JAMES MERTZ, PHD
Title: DIRECTOR OF CLINICAL SERVICES
Phone: (570) 288-4205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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