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Organization

PHYSICIANS HEALTH ALLIANCE INC

Active
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Organization

PHYSICIANS HEALTH ALLIANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA KANE (COO)
(570) 969-9005
Entity
Organization

Contact information

Practice address
748 QUINCY AVE, 1A, SCRANTON, PA 18510-1739
(570) 342-5253
(570) 342-6038
Mailing address
1401 ELECTRIC ST, DUNMORE, PA 18509-2098
(570) 969-9005
(570) 207-0706

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007712910043
PA
01
2563602
BLUE SHIELD
PA
Enumeration date
11/23/2010
Last updated
10/31/2011
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