Organization
NEPA VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GUERRIERO III DO (OWNER PROVIDER)
(570) 616-8589
Entity
Organization
Contact information
Practice address
1918 W FRONT ST, BERWICK, PA 18603-4230
(570) 616-8589
(570) 616-8590
Mailing address
1918 W FRONT ST, BERWICK, PA 18603-4230
(570) 616-8589
(570) 616-8590
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/19/2024
Last updated
09/16/2024
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