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Organization
HUGHESTOWN HEALTH SERVICES, PC
Active
Organization
HUGHESTOWN HEALTH SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY L CHIAVACCI MD (PRESIDENT)
(570) 388-2923
Entity
Organization
Contact information
Practice address
2352 NEWTON RANSOM BLVD, CLARKS SUMMIT, PA 18411-9650
(570) 388-2612
(570) 388-0946
Mailing address
2352 NEWTON RANSOM BLVD, CLARKS SUMMIT, PA 18411-9650
(570) 388-2612
(570) 388-0946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039389L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011539170011
—
PA
01
—
0072770000
INDEPENDENCE BLUE CROSS
—
01
—
124627
HEALTH ASSURANCE
—
01
—
HU1596910
HIGHMARK BLUE SHIELD
—
Enumeration date
04/12/2006
Last updated
08/22/2020
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