Scranton Temple Residency Program Faculty Services
NPI #1932195492 in Scranton, Pennsylvania
Provider Information
- NPI Number
- 1932195492
- Entity Type
- Organization
- Organization Name
- Scranton Temple Residency Program Faculty Services
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 21, 2005
- Last Updated
- Jul 24, 2008
Practice Location
- Address
- 640 MADISON AVE
- City
- Scranton
- State
- Pennsylvania
- ZIP Code
- 18510-1624
- Phone
- (570) 941-0630
Authorized Official
- Name
- ELISORO PRIMERO
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (570) 941-0630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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