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Organization

COMMUNITY MEDICAL CENTER

Active
Other names
TRAUMA PHYSICIANS CMC
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENT)
(570) 271-6603
Entity
Organization

Contact information

Practice address
1822 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 346-7797
(570) 342-9802
Mailing address
PO BOX 390, SCRANTON, PA 18501-0390
(570) 346-7797
(570) 342-9802

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007456760011
PA
Enumeration date
11/30/2005
Last updated
03/10/2023
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