Individual
DR. AMIEL W BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8888
(570) 703-8512
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
D52278
MD
207T00000X
Neurological Surgery Physician
Primary
MD472635
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345210700
—
MD
01
—
878BGR/54676002
CAREFIRST MARYLAND GBMC
MD
01
—
K5700001
CAREFIRST REGIONAL GBMC
MD
Enumeration date
07/14/2006
Last updated
02/19/2021
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