Organization
POCONO EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY ASSOC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSAIN G MALIK M.D. F.A.C.S. (OWNER)
(570) 424-2830
Entity
Organization
Contact information
Practice address
296 E BROWN ST, EAST STROUDSBURG, PA 18301-3011
(570) 424-2830
Mailing address
296 E BROWN ST, EAST STROUDSBURG, PA 18301-3011
(570) 424-2830
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD036586L
PA
208200000X
Plastic Surgery Physician
MD036586L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017769230005
—
PA
Enumeration date
05/22/2013
Last updated
05/22/2013
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