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Organization
KINGSTON OPHTHALMOLOGY ASC LLC
Active
Organization
KINGSTON OPHTHALMOLOGY ASC LLC
Active
Other names
Kingston Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
601 WYOMING AVE, KINGSTON, PA 18704-3701
(570) 288-7405
(570) 714-0419
Mailing address
601 WYOMING AVE, KINGSTON, PA 18704-3701
(570) 288-7405
(570) 714-0419
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
09/07/2023
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