Individual
DR. JOSEPH PATRICK BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 MULBERRY ST., SCRANTON, PA 18510-6800
(570) 703-7245
(570) 703-7325
Mailing address
100 NORTH ACADEMY AVE., DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD043408E
PA
208C00000X
Colon & Rectal Surgery Physician
MD043408E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014648190001
—
PA
Enumeration date
01/31/2006
Last updated
08/10/2020
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