Individual
DR. ERIC C DEWARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1032 N WASHINGTON AVE, SCRANTON, PA 18509-2948
(570) 558-8660
(570) 558-8665
Mailing address
1032 N WASHINGTON AVE, SCRANTON, PA 18509-2948
(570) 558-8660
(570) 558-8665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD421790
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001958013
—
PA
Enumeration date
04/03/2006
Last updated
11/23/2021
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