Individual
GREGORY H ENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 JEFFERSON AVE, SUITE 104, SCRANTON, PA 18510-1639
(570) 558-0182
(570) 558-0183
Mailing address
743 JEFFERSON AVE STE 104, SCRANTON, PA 18510-1636
(570) 558-0182
(570) 558-0183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD 058911
PA
207RG0100X
Gastroenterology Physician
Primary
MD058911L
PA
207RH0003X
Hematology & Oncology Physician
MD058911L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016109440002
—
PA
Enumeration date
10/19/2006
Last updated
12/04/2025
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