Individual
JOSEPH FILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
Mailing address
PO BOX 1476, KINGSTON, PA 18704-0476
(570) 714-5525
(570) 714-5548
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD030512E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011491820007
—
PA
Enumeration date
05/12/2006
Last updated
05/23/2008
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