Individual
COLLEEN TEMPEST NEWSWANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 KIM AVE, TUNKHANNOCK, PA 18657-9103
(570) 836-2313
Mailing address
PO BOX 1347, KINGSTON, PA 18704-0347
(570) 836-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003325L
PA
Other
Enumeration date
08/31/2005
Last updated
06/09/2008
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