Individual
MARC A INCITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
Mailing address
459 FULTON ST APT 3, WAVERLY, NY 14892-1378
(570) 550-2794
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN63676
PA
163WE0003X
Emergency Registered Nurse
RN63676
PA
163WG0100X
Gastroenterology Registered Nurse
RN63676
PA
163WM0705X
Medical-Surgical Registered Nurse
RN63676
PA
163WU0100X
Urology Registered Nurse
RN63676
PA
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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