Individual
ENRICO A SERINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 QUINCY AVE, DUNMORE, PA 18510-1150
(570) 983-0369
(570) 983-0375
Mailing address
1140 QUINCY AVE, DUNMORE, PA 18510-1150
(570) 983-0369
(570) 983-0375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD025938E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00823724
—
PA
Enumeration date
01/10/2006
Last updated
03/04/2013
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