Individual
CYRIL PUHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 ADAMS AVE, SCRANTON, PA 18503-1604
(570) 348-6100
(570) 969-8626
Mailing address
326 ADAMS AVE, SCRANTON, PA 18503-1604
(570) 348-6100
(570) 969-8626
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD015383E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005566850004
—
PA
Enumeration date
04/11/2006
Last updated
03/01/2012
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