Organization
2309 STAFFORD AVENUE OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MELLON (VP COMPLIANCE)
(856) 282-5590
Entity
Organization
Contact information
Practice address
2309 STAFFORD AVE, SCRANTON, PA 18505-3686
(856) 282-5590
Mailing address
5 EVES DR, MARLTON, NJ 08053-3135
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/17/2025
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