Organization
FITZMAURICE COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH KOSTER (PRESIDENT)
(570) 424-6223
Entity
Organization
Contact information
Practice address
2115 N 5TH ST, STROUDSBURG, PA 18360-2801
(570) 424-6223
Mailing address
2115 N 5TH ST, STROUDSBURG, PA 18360-2801
(570) 424-6223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017620061
—
PA
Enumeration date
12/04/2006
Last updated
07/21/2022
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