Individual
JOHN TYLER VERCUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 W END RD STE 101, HANOVER TOWNSHIP, PA 18706-5448
(570) 208-4035
Mailing address
111 W END RD STE 101, HANOVER TOWNSHIP, PA 18706-5448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA007373
PA
363AM0700X
Medical Physician Assistant
MA066081
PA
Other
Enumeration date
10/01/2024
Last updated
11/25/2025
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