Organization
POCONO AMBULATORY SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH B CONAHAN M.D. (MANAGING DIRECTOR)
(570) 421-4978
Entity
Organization
Contact information
Practice address
1 VETERANS PL, STROUDSBURG, PA 18360-2418
(570) 421-4978
(570) 424-7312
Mailing address
1 VETERANS PL, STROUDSBURG, PA 18360-2418
(570) 421-4978
(570) 424-7312
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16821500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078006230002
—
PA
01
—
075186
FIRST PRIORITY HEALTH PRO
PA
01
—
2175169
UNITED HEALTHCARE PROVIDE
PA
01
—
22777
GEISINGER PROVIDER NUMBER
PA
01
—
303901
BLUE CROSS PROVIDER NUMBE
PA
01
—
78251
MED PLUS PROVIDER NUMBER
PA
01
—
8496212
AETNA PROVIDER NUMBER
PA
01
—
A1985647
OXFORD PROVIDER NUMBER
PA
Enumeration date
05/24/2005
Last updated
04/24/2008
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