Organization
UNITED SURGICAL ASSOCIATES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH G WROBLESKI JR. D.O. (PRESIDENT)
(570) 281-9000
Entity
Organization
Contact information
Practice address
75 N SCOTT ST, CARBONDALE, PA 18407-1833
(570) 281-9000
(570) 281-9200
Mailing address
75 N SCOTT ST, CARBONDALE, PA 18407-1833
(570) 281-9000
(570) 281-9200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS009172L
PA
2086S0129X
Vascular Surgery Physician
Primary
OS009172L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001364500
BLUE SHIELD GROUP
PA
05
—
0077428240002
—
PA
01
—
119234
THREE RIVERS
—
01
—
1989020
FIRST HEALTH
—
01
—
202975
BLACK LUNG
—
01
—
2587081
AETNA
PA
01
—
343958
HEALTHAMERICA
—
01
—
3Y2164
HEALTHNET
—
01
—
66699
GEISINGER
—
01
—
814383
FIRST PRIORITY HEALTH
—
01
—
925496
BLUE SHIELD INDIVIUAL
PA
01
—
P2741545
OXFORD
—
Enumeration date
07/14/2005
Last updated
09/26/2008
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