Individual
JILA KABERI-OTAROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 969-8000
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD424396
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101207995
—
PA
Enumeration date
09/27/2005
Last updated
07/10/2020
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