Organization
LINCOLN AVE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HALL (DIRECTOR OF BILLING)
(772) 261-3422
Entity
Organization
Contact information
Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2116
(570) 284-5100
(570) 284-5103
Mailing address
1802 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-7234
(772) 252-1235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
12/27/2019
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