Organization
INTEGRATED SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE COCHORAN MD (PRESIDENT)
(570) 346-9336
Entity
Organization
Contact information
Practice address
103 SQUIRREL RUN, CLARKS GREEN, PA 18411-8960
(570) 346-9336
(570) 587-3703
Mailing address
103 SQUIRREL RUN, CLARKS GREEN, PA 18411-8960
(570) 346-9336
(570) 587-3703
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD016183E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011525440003
—
PA
Enumeration date
07/25/2006
Last updated
08/22/2020
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