Organization
EMERGENCY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BRUNETTI DO (VICE PRESIDENT)
(570) 558-2630
Entity
Organization
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 969-8128
Mailing address
PO BOX 319, DUNMORE, PA 18512-0319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016910580003
—
PA
Enumeration date
07/24/2006
Last updated
01/28/2011
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