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Organization
SWEET FAMILY PRACTICE
Active
Organization
SWEET FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE MAYBELLE SWEET MD (PRESIDENT)
(570) 268-6400
Entity
Organization
Contact information
Practice address
GOLDEN MILE BOX 341, WYSOX, PA 18854-0341
(570) 268-6400
(570) 268-6401
Mailing address
PO BOX 341, WYSOX, PA 18854-0341
(570) 268-6400
(570) 268-6401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD061835L
PA
207V00000X
Obstetrics & Gynecology Physician
MD061835L
PA
261Q00000X
Clinic/Center
MD061835L
PA
Other
Enumeration date
08/03/2006
Last updated
01/12/2009
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