Organization
POCONO MED-PEDS ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYURI K SEDANI MD (PRESIDENT)
(570) 422-1290
Entity
Organization
Contact information
Practice address
200 PLAZA CT STE B, E STROUDSBURG, PA 18301-8259
(570) 422-1290
(570) 476-6108
Mailing address
400 PLAZA COURT, SUITE A, E STROUDSBURG, PA 18301
(570) 422-1290
(570) 476-6108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD062149L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD062149L
STATE LICENSE
PA
Enumeration date
09/05/2006
Last updated
02/11/2022
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