Individual
MINDA BERMUDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
451 3RD AVE, KINGSTON, PA 18704-5802
(570) 283-0205
(570) 283-0199
Mailing address
451 3RD AVE, KINGSTON, PA 18704-5802
(570) 283-0205
(570) 283-0199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD044051-L
PA
Other
Enumeration date
09/16/2005
Last updated
07/08/2007
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