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Organization
PENN KIDDER MEDICAL CENTER INC
Active
Organization
PENN KIDDER MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL LESITSKY MD (OWNER)
(570) 722-2125
Entity
Organization
Contact information
Practice address
2588 STATE ROUTE 903, SUITE 2, ALBRIGHTSVILLE, PA 18210-0182
(570) 722-2125
Mailing address
PO BOX 182, ALBRIGHTSVILLE, PA 18210-0182
(570) 722-2125
(570) 722-2127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
12/09/2011
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