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Organization
NORTHEASTERN OCCUPATIONAL MEDICINE & REHABILITATION CENTER, P.C.
Active
Organization
NORTHEASTERN OCCUPATIONAL MEDICINE & REHABILITATION CENTER, P.C.
Active
Other names
NE Occupational Medc Re
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J. FRICCHIONE M.D. (PRESIDENT)
(570) 341-7777
Entity
Organization
Contact information
Practice address
769 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512
(570) 341-7777
(570) 341-7789
Mailing address
769 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512
(570) 341-7777
(570) 341-7789
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NE574368
BLUE SHIELD PROVIDER #
PA
Enumeration date
09/05/2006
Last updated
02/04/2009
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