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Individual

ADAM WILLIAM YNGELMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
150 MUNDY STREET, MAC IV BUILDING, WILKES-BARRE, PA 18702-6380
(570) 824-0930
(570) 824-7755
Mailing address
5 MORGAN HWY STE 4, SCRANTON, PA 18508-2641
(570) 344-3788

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA060498
PA
363A00000X
Physician Assistant
6916
AZ

Other

Enumeration date
10/17/2017
Last updated
05/14/2019
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