Organization
PROCTOR AND PROCTOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PROCTOR MD (PWNER)
(717) 263-2489
Entity
Organization
Contact information
Practice address
1227 WESTSIDE AVE, HONESDALE, PA 18431-1715
(717) 263-2489
Mailing address
1227 WESTSIDE AVE, HONESDALE, PA 18431-1715
(717) 263-2489
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MD036068E
PA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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