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Individual

DR. SUDARSHAN KUMAR SINGLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13 S 7TH ST, POCONO LASER CENTER, STROUDSBURG, PA 18360-2007
(570) 424-8489
Mailing address
13 S 7TH ST, POCONO LASER CENTER, STROUDSBURG, PA 18360-2007
(570) 424-8489

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD036553L
PA
208D00000X
General Practice Physician
Primary
MD036553L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010309710003
PA
01
SIN612521
PENNSYLVANIA BLUE SHIELD
PA
Enumeration date
09/23/2005
Last updated
06/06/2008
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