Organization
M.S.U.R., M.D., ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN M CARSIA (OFFICE MANAGER)
(570) 826-6875
Entity
Organization
Contact information
Practice address
166 HANOVER ST, SUITE 305, WILKES BARRE, PA 18702-3549
(570) 826-6875
(570) 829-2280
Mailing address
166 HANOVER ST, SUITE 305, WILKES BARRE, PA 18702-3549
(570) 826-6875
(570) 829-2280
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011554840006
MEDICAID
PA
01
—
1484
GEISINGER HEALTH PLAN
PA
01
—
164990
HIGHMARK BLUE SHIELD
PA
01
—
2Y28128
HEALTH NET
PA
01
—
812956
FIRST PRIORITY HEALTH
PA
Enumeration date
03/06/2007
Last updated
03/31/2008
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