Individual
JOHN W PAVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 340-5079
(570) 340-5896
Mailing address
1623 JEFFERSON AVE, DUNMORE, PA 18509-2031
(570) 340-5079
(570) 340-5896
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055176
PA
Other
Enumeration date
09/26/2011
Last updated
02/20/2017
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