Organization
MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK J DUFF (PRESIDENT)
(570) 327-8790
Entity
Organization
Contact information
Practice address
150 MUNDY ST, MAC 1, WILKES BARRE, PA 18702-6830
(570) 970-2300
(570) 970-2323
Mailing address
2605 REACH RD, WILLIAMSPORT, PA 17701-4392
(570) 327-8790
(570) 321-9504
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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