Individual
DR. KENNETH CHIUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2031 HAY TERRACE, EASTON, PA 18042
(570) 402-4001
(570) 402-4002
Mailing address
PO BOX 200, OLD MILL PROFESSIONAL CENTER, BUSINESS RT. 209, SCIOTA, PA 18354-0210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037839
PA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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