Organization
POCONO NEUROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRIWARLAL GUPTA MD (OWNER)
(570) 421-1213
Entity
Organization
Contact information
Practice address
144 E BROWN ST, EAST STROUDSBURG, PA 18301-2922
(570) 421-1213
(570) 421-4541
Mailing address
144 E BROWN ST, EAST STROUDSBURG, PA 18301-2922
(570) 421-1213
(570) 421-4541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD016750E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011360030001
—
PA
Enumeration date
10/04/2007
Last updated
10/04/2007
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