Organization
DELTA MEDIX PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA DEMYAN CPA (ACCOUNTANT)
(570) 558-3565
Entity
Organization
Contact information
Practice address
300 LACKAWANNA AVE, SCRANTON, PA 18503-2001
(570) 342-7864
(570) 207-7678
Mailing address
300 LACKAWANNA AVE, SCRANTON, PA 18503-2001
(570) 558-3565
(570) 207-7678
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000715941
—
PA
Enumeration date
04/25/2006
Last updated
01/25/2019
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