Organization
SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
Active
Other names
Schuylkill Medical Center - South Jackson Street Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E SIMODEJKA (PRESIDENT & CHIEF EXEC. OFFICER)
(610) 621-5111
Entity
Organization
Contact information
Practice address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5000
(570) 622-8221
Mailing address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5000
(570) 622-8221
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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