Individual
SYDNEY MICHELLE CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 LACKAWANNA AVE STE 200, SCRANTON, PA 18503-2001
(570) 342-7864
(570) 344-1255
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 844-4500
(484) 844-0699
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA064975
PA
Other
Enumeration date
09/22/2023
Last updated
09/24/2023
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