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Individual

DR. JOSEPH CHARLES SEPROSKY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-5697
Mailing address
1217 TONWIN ST, ARCHBALD, PA 18403-2338
(570) 614-3970

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD042091E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001229120 0004
PA
05
002291200001
PA
01
0115756000
PA. BLUE SHIELD PERSONAL
PA
01
019590200
FEDERAL BLACK LUNG
PA
01
0562310
AETNA
PA
01
080115661
RAILLROAD MEDICARE
PA
01
21278 E4CL
GEISINGER HEALTH PLAN
PA
01
539622
HIGHMARK BLUE SHIELD
PA
01
825258
BLUE CROSS OF NE PA / FIRST PRIORITY HEALTH
PA
01
E55533
HEALTH AMERICA
PA
Enumeration date
07/29/2006
Last updated
07/11/2023
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