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Organization
LUZERNE COUNTY GENERAL PRACTICE ASSOCIATES LLC
Active
Organization
LUZERNE COUNTY GENERAL PRACTICE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J STUKA D.O. (SOLE MBR)
(570) 655-2959
Entity
Organization
Contact information
Practice address
1701 WYOMING AVE, EXETER, PA 18643-1491
(570) 655-2959
(570) 655-9213
Mailing address
1701 WYOMING AVE, EXETER, PA 18643-1491
(570) 655-2959
(570) 655-9213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003170L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1289
FIRST PRIORITY HEALTH
PA
01
—
1999580
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/15/2008
Last updated
05/02/2008
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