Individual
ETHAN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 18301-8260
(570) 421-8842
(570) 476-5842
Mailing address
300 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 18301-8260
(570) 421-8842
(570) 476-5842
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD457973
PA
Other
Enumeration date
05/04/2012
Last updated
08/12/2016
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