# ST. CATHERINE PHYSICIAN SERVICES OF PENNSYLVANIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003907999
- **Authorized official:** ROBERT LANE (CHAIRMAN)
- **Authorized official phone:** (570) 875-5835

## Contact information

- **Practice address:** 101 BROAD ST, ASHLAND, PA 17921-2147
- **Practice address phone:** (570) 875-6835
- **Mailing address:** 101 BROAD ST, ASHLAND, PA 17921-2147
- **Mailing address phone:** (570) 875-6835
- **Mailing address fax:** (570) 875-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 02/04/2009