Organization
MGF ENTERPRISES PC
Active
Other names
Greater Pittston Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CAMPENNI DO (PRESIDENT)
(570) 760-1901
Entity
Organization
Contact information
Practice address
250 KENNEDY BLVD STE 2, PITTSTON, PA 18640-1814
(570) 760-1901
Mailing address
250 KENNEDY BLVD STE 2, PITTSTON, PA 18640-1814
(570) 760-1901
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
OS008694L
PA
Other
Enumeration date
08/20/2018
Last updated
11/18/2021
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