Individual
EDWARD JOSEPH KLONIECKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 OAK ST, PITTSTON, PA 18640-3798
(570) 808-9800
(570) 808-9801
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD481135
PA
208800000X
Urology Physician
MT214398
PA
Other
Enumeration date
04/15/2017
Last updated
10/20/2023
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