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Organization
WHITES CROSSING MEDICAL GROUP INC
Active
Organization
WHITES CROSSING MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT T DUPLESSIS (PRESIDENT/COO)
(570) 282-2456
Entity
Organization
Contact information
Practice address
37 HONESDALE RD, CARBONDALE, PA 18407-1431
(570) 282-2456
(570) 282-9114
Mailing address
37 HONESDALE RD, CARBONDALE, PA 18407-1431
(570) 282-2456
(570) 282-9114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100776986
—
PA
Enumeration date
02/03/2006
Last updated
12/29/2010
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