Individual
DR. JOAN J FORGETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 696-3283
(570) 696-3268
Mailing address
PO BOX 197, STATE COLLEGE, PA 16804-0197
(814) 235-1526
(814) 235-1566
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD049598L
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD049598L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001410587
—
PA
Enumeration date
05/01/2006
Last updated
08/18/2008
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