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Organization

ST JOSEPHS INTERNAL MEDICINE PC

Active
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Organization

ST JOSEPHS INTERNAL MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACI GURBA (OFFICE MANAGER)
(570) 339-2160
Entity
Organization

Contact information

Practice address
300 S HICKORY ST, MT CARMEL, PA 17851
(570) 339-2160
(570) 339-4193
Mailing address
300 S HICKORY ST, MT CARMEL, PA 17851
(570) 339-2160
(570) 339-4193

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02325000
BLUE CROSS
PA
01
—
402980
BLUE SHIELD
PA
01
—
DA2400
RAILROAD MEDICARE
PA
05
—
MA01054599
—
PA
Enumeration date
01/13/2006
Last updated
11/08/2011
About Stedi
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