Organization
MICHEL GOUBRAN MD P.C.
Active
Other names
St. Rita's Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEL GOUBRAN MD (PRESIDENT)
(570) 507-9517
Entity
Organization
Contact information
Practice address
1831 PITTSTON AVE STE 2, SCRANTON, PA 18505-1651
(570) 507-9517
(570) 507-9520
Mailing address
1831 PITTSTON AVE STE 2, SCRANTON, PA 18505-1651
(570) 507-9517
(570) 507-9520
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD035965L
PA
261QM2500X
Medical Specialty Clinic/Center
MD035965L
PA
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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