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Organization
NORTH PENN MEDICAL GROUP
Active
Organization
NORTH PENN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANTHONY DOMPKOSKY DO (OWNER)
(570) 550-2200
Entity
Organization
Contact information
Practice address
240 N SHERMAN ST, WILKES BARRE, PA 18702-5316
(570) 550-2200
(570) 261-5071
Mailing address
123 N MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1148
(570) 550-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS009191L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01653191
—
PA
Enumeration date
07/24/2012
Last updated
08/30/2024
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