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Organization

NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION

Active
Other names
Occupational Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM BAUER (CFO)
(570) 501-8293
Entity
Organization

Contact information

Practice address
700 E BROAD ST, PATIENT ACCOUNTS, HAZLETON, PA 18201-6835
(570) 501-4700
(570) 501-4803
Mailing address
50 MOISEY DR, SUITE 208, HAZLE TOWNSHIP, PA 18202-9297
(570) 501-6800
(570) 501-6805

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD017859E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780748152
NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION NPI
PA
Enumeration date
02/23/2011
Last updated
02/23/2011
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