# MY FAMILY DOCTOR

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

## Provider details

- **NPI number:** 1881712297
- **Authorized official:** KENNETH JAMES VARANO D.O. (PRESIDENT)
- **Authorized official phone:** (610) 681-3300

## Contact information

- **Practice address:** ROUTE 209, WEIR LAKE RD, BRODHEADSVILLE, PA 18322
- **Practice address phone:** (610) 681-3300
- **Mailing address:** PO BOX 1025, BRODHEADSVILLE, PA 18322-1025
- **Mailing address phone:** (610) 681-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS009028L | PA | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020