# MARK A GONSKY DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740428689
- **Authorized official:** DR. MARK GONSKY DO (PHYSICAN)
- **Authorized official phone:** (570) 403-5000

## Contact information

- **Practice address:** 111 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
- **Practice address phone:** (570) 403-5000
- **Practice address fax:** (570) 693-6178
- **Mailing address:** 59 LOOP RD, MOUNTAIN TOP, PA 18707-1778
- **Mailing address phone:** (570) 403-5000
- **Mailing address fax:** (570) 693-6178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OSOO51O5L | PA | Yes |

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 01/30/2009