Organization
CARDIOTHORACIC SURGERY, LLC
Active
Parent organization
CMCI
Other names
Premiere Surgical
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMCI
Authorized official
MS. SHERRY A DEAN (PRACTICE MANAGER)
(570) 963-1740
Entity
Organization
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 963-1740
(570) 963-5780
Mailing address
1360 WYOMING AVE, SCRANTON, PA 18509-2803
(570) 963-1740
(570) 963-5780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
10/25/2012
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