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Individual

MR. GERALD ECKENRODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.R.T.

Contact information

Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 819-5114
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 819-5114

Taxonomy

Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
YM000449L
PA

Other

Enumeration date
08/26/2008
Last updated
08/26/2008
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