Individual
DR. NICHOLAS A IEROVANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-4830
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT014011
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS019307
PA
Other
Enumeration date
07/12/2011
Last updated
08/13/2020
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