Individual
JOHN THEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 829-3337
Mailing address
585 CHARLES AVE, KINGSTON, PA 18704-4711
(570) 331-2029
(570) 829-3337
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
226706
NY
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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