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Organization
SUSAN F. SORDONI, MD PC
Active
Organization
SUSAN F. SORDONI, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN F. SORDONI MD (FAMILY PRACTICE PHYSICIAN)
(570) 714-2999
Entity
Organization
Contact information
Practice address
250 PIERCE ST, SUITE 115, KINGSTON, PA 18704-5149
(570) 714-2999
(570) 714-2903
Mailing address
PO BOX 1164, KINGSTON, PA 18704-0164
(570) 714-2999
(570) 714-2903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD072550L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018304560003
MED PLUS 3 RIVERS UNASYN
PA
05
—
0018304560003
—
PA
01
—
002782
FIRST PRIORITY
PA
01
—
1058606
AETNA MC ADVANTAGE & HMO
PA
01
—
193973
BLUE CROSS BLUE SHIELD
PA
01
—
60162
GEISINGER
PA
01
—
61056770
DEPARTMENT OF LABOR
PA
01
—
7822738
AETNA PPL
PA
Enumeration date
06/19/2007
Last updated
07/14/2009
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