Organization
NORTHERN TIER GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAYAN C SHAH M.D. (PRESIDENT)
(570) 876-5900
Entity
Organization
Contact information
Practice address
681 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1022
(570) 876-5900
(570) 876-5300
Mailing address
681 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1022
(570) 876-5900
(570) 876-5300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
04/08/2013
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