Individual
DR. RICHARD FRANK CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8 BROOKHILL SQUARE SOUTH, SPRING COMMONS, SUGARLOAF, PA 18249-1010
(570) 459-0029
(570) 454-5757
Mailing address
8 BROOKHILL SQUARE SOUTH, SPRING COMMONS, SUGARLOAF, PA 18249-1010
(570) 459-0029
(570) 454-5757
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS010574L
PA
207Q00000X
Family Medicine Physician
OS010574L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018674470005
—
PA
01
—
925494
BLUE SHIELD
PA
Enumeration date
09/21/2005
Last updated
12/10/2021
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