Individual
DR. JUDE FRANCIS SIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 W CHESTNUT ST, HAZLETON, PA 18201-6230
(570) 455-3339
(570) 455-2939
Mailing address
235 W CHESTNUT ST, HAZLETON, PA 18201-6230
(570) 455-3339
(570) 455-2939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040325L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012196990002
—
PA
05
—
1022921120001
—
PA
01
—
147232
BS
—
01
—
149219
MEDICARE ID
PA
Enumeration date
06/06/2006
Last updated
09/04/2014
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