Individual
SHELLEY S SASSAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
241 CLAREMONT AVENUE, HOMETOWN, PA 18252-4433
(570) 225-7211
(570) 225-7221
Mailing address
PO BOX 1347, KINGSTON, PA 18704-0347
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001448L
PA
Other
Enumeration date
07/20/2005
Last updated
04/01/2014
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