Organization
BACK MOUNTAIN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN E GREULICK MD (OWNER)
(570) 675-7955
Entity
Organization
Contact information
Practice address
550 MEMORIAL HIGHWAY, DALLAS, PA 18612
(570) 675-7955
(570) 675-7882
Mailing address
550 MEMORIAL HIGHWAY, SUITE 1, DALLAS, PA 18612
(570) 675-7955
(570) 675-7882
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD024845E
PA
291U00000X
Clinical Medical Laboratory
022874
PA
Other
Enumeration date
05/22/2007
Last updated
09/11/2025
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