Organization
MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK DUFF (PRESIDENT)
(570) 327-8790
Entity
Organization
Contact information
Practice address
426 AIRPORT RD, HAZLETON, PA 18202
(570) 861-8500
(570) 861-8501
Mailing address
2605 REACH RD, WILLIAMSPORT, PA 17701-4392
(570) 327-8790
(570) 321-9504
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2012
Last updated
12/17/2013
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