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Organization
MOUNTAIN AREA HEALTHCARE PC
Active
Organization
MOUNTAIN AREA HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA M MATRICCINO (OFFICE MANAGER)
(570) 454-8204
Entity
Organization
Contact information
Practice address
23 E BROAD ST, HAZLETON, PA 18201-6520
(570) 454-8204
(570) 459-0099
Mailing address
23 E BROAD ST, HAZLETON, PA 18201-6520
(570) 454-8204
(570) 459-0099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
06/02/2011
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