Organization
COMPREHENSIVE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA KIPERVAS MD (OWNER)
(570) 421-8196
Entity
Organization
Contact information
Practice address
102 ROUTE 611 STE 2, BARTONSVILLE, PA 18321-9439
(570) 619-0080
(570) 476-6213
Mailing address
401 MAIN ST, STROUDSBURG, PA 18360-2404
(570) 421-8196
(570) 476-6213
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS011926
PA
Other
Enumeration date
03/05/2007
Last updated
09/30/2011
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