Organization
HAZLETON CHILDREN'S MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F. CAGGIANO M.D. (VICE PRESIDENT)
(570) 455-7823
Entity
Organization
Contact information
Practice address
1730 E BROAD ST, SUITE 2, HAZLETON, PA 18201-5622
(570) 455-7823
(570) 455-8848
Mailing address
1730 E BROAD ST, SUITE 2, HAZLETON, PA 18201-5622
(570) 455-7823
(570) 455-8848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015718460001
—
PA
Enumeration date
03/29/2007
Last updated
08/22/2020
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