Organization
APO2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SILKOWSKI (MANAGER)
(570) 455-7223
Entity
Organization
Contact information
Practice address
465 E CHESTNUT STREET, HAZLETON, PA 18201
(570) 455-7223
Mailing address
465 E CHESTNUT ST, HAZLETON, PA 18201-6711
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8000001532
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012799300001
—
PA
Enumeration date
10/23/2006
Last updated
06/08/2010
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