Individual
DR. GERALD J KAZMERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
959 WYOMING AVE, SECOND FLOOR, DENTAL OFFICES, SCRANTON, PA 18509-3023
(570) 504-0882
(570) 504-0859
Mailing address
SCRANTON PRIMARY HEALTH CARE CENTER-DENTAL, 959 WYOMING AVENUE, SECOND FLOOR, SCRANTON, PA 18509
(570) 504-0882
(570) 504-0859
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DS017739L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010505830003
—
PA
Enumeration date
09/27/2006
Last updated
04/17/2015
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