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Organization
KEYSTONE FAMILY MEDICINE ASSOCIATES, P. C.
Active
Organization
KEYSTONE FAMILY MEDICINE ASSOCIATES, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND J KRAYNAK D.O. (PRESIDENT)
(570) 339-5754
Entity
Organization
Contact information
Practice address
28 E 5TH ST, MOUNT CARMEL, PA 17851-2106
(570) 339-5754
(570) 339-3820
Mailing address
28 E 5TH ST, MOUNT CARMEL, PA 17851-2106
(570) 339-5754
(570) 339-3820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-005323-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016251410001
—
PA
Enumeration date
05/18/2006
Last updated
11/12/2015
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