Organization
MGF ENTERPRISES PC
Active
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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