Individual
DR. JOSEPH TAK-PUN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
148619-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD019481E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006853790001
—
PA
05
—
00793999
—
NY
01
—
220029212
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039827
MEDICARE GROUP
PA
Enumeration date
03/15/2006
Last updated
08/02/2011
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