Individual
DR. PATRICIA A MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 MARY LN, SCRANTON, PA 18505-2738
(570) 407-7110
Mailing address
101 MARY LN, SCRANTON, PA 18505-2738
(570) 407-7110
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD039481E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012095580001
—
PA
Enumeration date
12/13/2005
Last updated
07/17/2019
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