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Organization

COMMUNITY MEDICAL CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NILSSON (PRESIDENT AND CEO)
(570) 969-8240
Entity
Organization

Contact information

Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 558-3500
Mailing address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 558-3500

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207T00000X
Neurological Surgery Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
2086S0127X
Trauma Surgery Physician
2086S0129X
Vascular Surgery Physician
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007543700015
PA
Enumeration date
05/22/2006
Last updated
08/08/2008
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