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Organization

ST. CATHERINE PHYSICIAN SERVICES OF PENNSYLVANIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LANE (CHAIRMAN)
(570) 875-5835
Entity
Organization

Contact information

Practice address
101 BROAD ST, ASHLAND, PA 17921-2147
(570) 875-6835
Mailing address
101 BROAD ST, ASHLAND, PA 17921-2147
(570) 875-6835
(570) 875-5980

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207Q00000X
Family Medicine Physician
207RX0202X
Medical Oncology Physician
207X00000X
Orthopaedic Surgery Physician
208600000X
Surgery Physician
208VP0000X
Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019269700001
PA
Enumeration date
09/27/2006
Last updated
02/04/2009
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