Organization
BON SECOURS COMMUNITY HOSPITAL
Active
Other names
Bon Secours Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
LYDDA HERNANDEZ (PHYSICIAN SERVICES-CREDENTIALING)
(845) 987-3954
Entity
Organization
Contact information
Practice address
510 ROUTE 6 AND 209, SUITE 8, MILFORD, PA 18337-7615
(570) 296-5950
(570) 296-1066
Mailing address
510 ROUTE 6 AND 209, SUITE 8, MILFORD, PA 18337-7615
(570) 296-5950
(570) 296-1066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
12/18/2006
Last updated
04/30/2009
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