Organization
POCONO CARDIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON W FRIED DO (OWNER)
(570) 424-9952
Entity
Organization
Contact information
Practice address
200 PLAZA CT STE C, EAST STROUDSBURG, PA 18301-8259
(570) 424-9952
Mailing address
200 PLAZA CT STE C, EAST STROUDSBURG, PA 18301-8259
(570) 424-9952
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745366
MEDICARE GROUP NUMBER
PA
Enumeration date
02/01/2007
Last updated
04/11/2008
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