# PHYSICIANS HEALTH ALLIANCE INC

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

## Provider details

- **NPI number:** 1952578486
- **Authorized official:** PATRICIA KANE (COO)
- **Authorized official phone:** (570) 969-9005

## Contact information

- **Practice address:** 401 ADAMS AVE, SUITE 201, SCRANTON, PA 18510-2025
- **Practice address phone:** (570) 346-7338
- **Practice address fax:** (570) 341-3025
- **Mailing address:** 1401 ELECTRIC ST, DUNMORE, PA 18509-2098
- **Mailing address phone:** (570) 969-9005
- **Mailing address fax:** (570) 207-0706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 10/31/2011
