Individual
PONI S BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD014602E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009293200001
—
PA
05
—
00799913
—
NY
01
—
CC9269
RR MEDICARE
PA
01
—
GU040042
MEDICARE GROUP
PA
Enumeration date
11/28/2005
Last updated
03/28/2008
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