Organization
ADVANCED INPATIENT MEDICINE TRANSITIONAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM DELBRUGGE (CFO)
(443) 949-0814
Entity
Organization
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764
(570) 552-4450
(570) 552-4455
Mailing address
PO BOX 69233, BALTIMORE, MD 21264-9233
(443) 949-0814
(443) 292-6814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS007508L
PA
207R00000X
Internal Medicine Physician
Primary
OS007508L
PA
Other
Enumeration date
10/12/2015
Last updated
02/24/2022
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