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Organization

OSCAR Y PICZON & FERDINAND J MAHAHAN

Active
Other names
Piczon-Manahan Associates
Organization subpart
No

Provider details

NPI number
Authorized official
OSCAR Y PICZON M.D. (PHYSICIAN)
(570) 346-6170
Entity
Organization

Contact information

Practice address
239 PENN AVE, FORUM PLAZA, SCRANTON, PA 18503
(570) 346-6170
(570) 346-2575
Mailing address
239 PENN AVE, FORUM PLAZA, SCRANTON, PA 18503
(570) 346-6170
(570) 346-2575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000036549
BLUE SHIELD PICZON
PA
01
000153941
BLUE SHIELD GROUP
PA
01
000424228
BLUE SHIELD MANAHAN
PA
01
0669043
PICZON
PA
01
19816
GEISINGER HEALTH PICZON
PA
01
220356
FIRST PRIORITY GROUP
PA
01
268D
GEISINGER HEALTH GROUP
PA
01
38078
GEISINGER HEALTH MANAHAN
PA
01
440302
FIRST PRIORITY MANAHAN
PA
01
440398
FIRST PRIORITY PICZON
PA
01
505518
AETNA MANAHAN
01
505690
AETNA PICZON
01
505726
AETNA GROUP
Enumeration date
01/10/2006
Last updated
01/15/2010
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