Organization
EASTERN POCONOS INTERNAL MEDICINE
Active
Other names
Sethuraman Muthiah, MD
Organization subpart
No
Provider details
NPI number
Authorized official
SETHURAMAN MUTHIAH M.D. (OWNER/MEDICAL DOCTOR)
(570) 424-2025
Entity
Organization
Contact information
Practice address
6977 ROUTE 611 OLYMPIA PLAZA, STROUDSBURG, PA 18360-9166
(570) 424-2025
(570) 424-2028
Mailing address
6977 ROUTE 611 OLYMPIA PLAZA, STROUDSBURG, PA 18360-9166
(570) 424-2025
(570) 424-2028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062954L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001663400
—
PA
Enumeration date
01/09/2012
Last updated
01/09/2012
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