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Organization
POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS, LLC
Active
Organization
POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS, LLC
Active
Parent organization
POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS MEDICAL SERVICES, LLC
Other names
Pocono Medical Group & Nephrology Consultants
Organization subpart
Yes
Provider details
NPI number
Legal business name
POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS MEDICAL SERVICES, LLC
Authorized official
UMESH I DALAL M.D. (OWNER PHYSICIAN)
(570) 421-7292
Entity
Organization
Contact information
Practice address
100 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 18301-8258
(570) 421-7292
(570) 421-8351
Mailing address
100 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 18301-8258
(570) 421-7292
(570) 421-8351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019487880001
—
PA
Enumeration date
08/31/2006
Last updated
12/31/2008
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