Individual
DIANA TACELOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
701 W OAK ST, FRACKVILLE, PA 17931-1672
(570) 874-4100
(570) 874-4182
Mailing address
701 W OAK ST, FRACKVILLE, PA 17931-1672
(570) 874-4100
(570) 874-4182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116029131
VA
207Q00000X
Family Medicine Physician
Primary
MD482087
PA
Other
Enumeration date
06/15/2016
Last updated
10/19/2024
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