Organization
VAMEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN JOAN CONDO CRT (CERTIFIED RESPIRATORY THERAPIST)
(570) 824-3521
Entity
Organization
Contact information
Practice address
1111 EAST END BLVD, WILKES-BARRE, PA 18711
(570) 824-3521
Mailing address
RR1 BOX 164A, WAPWALLOPEN, PA 18660
(570) 868-5997
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
YM005386L
PA
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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