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Individual

ELLEN CRANE CONNORS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Mailing address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-002417-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019659
BLUE CARE
PA
01
50076568
CAPITAL BLUE CROSS
PA
01
P00130169
RAILROAD MEDICARE
PA
Enumeration date
09/15/2005
Last updated
08/30/2016
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