Individual
MR. STEPHEN J MARTISOFSKI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
383 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9659
(800) 879-4471
Mailing address
56 DOGWOOD RD, DRUMS, PA 18222-1509
(570) 401-3898
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN260627L
PA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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