Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICES
Active
Organization
SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISORO PRIMERO (CHIEF FINANCIAL OFFICER)
(570) 941-0630
Entity
Organization
Contact information
Practice address
640 MADISON AVE, SCRANTON, PA 18510-1624
(570) 941-0630
(570) 941-0648
Mailing address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 343-2383
(570) 963-6133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001508252
—
PA
Enumeration date
09/21/2005
Last updated
07/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up