Organization
WYOMING VALLEY AIDS COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ZULA (EXECUTIVE DIRECTOR)
(570) 823-5808
Entity
Organization
Contact information
Practice address
330 BOWMAN ST, UNIT 1, WILKES BARRE, PA 18702-5448
(570) 823-5808
(570) 970-2717
Mailing address
330 BOWMAN ST, UNIT 1, WILKES BARRE, PA 18702-5448
(570) 823-5808
(570) 970-2717
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/11/2014
Last updated
05/17/2024
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