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Organization

BLOOMSBURG PHYSICIANS SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. REGIS CABONOR (CEO)
(570) 387-2100
Entity
Organization

Contact information

Practice address
480 CENTRAL RD, BLOOMSBURG, PA 17815-3121
(570) 387-6150
(570) 387-6185
Mailing address
549 FAIR ST, PO BOX 919, BLOOMSBURG, PA 17815-1419
(570) 387-2100

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
05/13/2008
Last updated
09/09/2008
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