Individual
MICHAEL STEVEN IMBROGNO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 OAK CTR, WILKES BARRE, PA 18702-7338
(570) 822-7070
(570) 822-9468
Mailing address
PO BOX 1736, WILKES BARRE, PA 18703-1736
(570) 822-7070
(570) 822-9468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD037262E
PA
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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