Organization
PEDIATRIC PRACTICES OF NORTHEASTERN PA
Active
Organization
PEDIATRIC PRACTICES OF NORTHEASTERN PA
Active
Other names
Pediatric Practices of Northeastern PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MORTON MD (PARTNER)
(570) 253-5838
Entity
Organization
Contact information
Practice address
62 INDUSTRIAL PARK RD, LAKE ARIEL, PA 18436-5606
(570) 689-7565
(570) 689-4803
Mailing address
1837 FAIR AVE, HONESDALE, PA 18431-2121
(570) 689-7565
(570) 689-4803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007422260016
—
PA
01
—
39-3888
CMS CERTIFICATION NUMBER
PA
Enumeration date
02/02/2010
Last updated
07/23/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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