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Individual

CAITLIN MESKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 MUNDY ST, MAC IV BUILDING, WILKES BARRE, PA 18702-6830
(570) 824-0930
Mailing address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003958
PA
363AM0700X
Medical Physician Assistant
MA058661
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50148667
CAPITAL BLUE CROSS
PA
Enumeration date
02/27/2017
Last updated
05/22/2017
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