Organization
SCRANTON TEMPLE RESIDENCY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LINDA THOMAS M.D (PAROGRAM DIRECTOR)
(570) 343-2383
Entity
Organization
Contact information
Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 343-2383
Mailing address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 343-2383
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MT189772
PA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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