Organization
BERWICK MEDICAL PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY NEWSOME (SENIOR VP)
(570) 759-5555
Entity
Organization
Contact information
Practice address
751 E 16TH ST, BERWICK, PA 18603-2321
(570) 759-5555
(570) 759-5553
Mailing address
PO BOX 504304, SAINT LOUIS, MO 63150-0001
(570) 759-5555
(570) 759-5553
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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