Individual
DR. EDWIN NYAMWAYA MOGAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COMMUNITY DR, TOBYHANNA, PA 18466-8985
(570) 895-2300
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD484471
PA
207Q00000X
Family Medicine Physician
MT223964
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
08/12/2024
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