Organization
MARK A GONSKY DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GONSKY DO (PHYSICAN)
(570) 403-5000
Entity
Organization
Contact information
Practice address
111 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1921
(570) 403-5000
(570) 693-6178
Mailing address
59 LOOP RD, MOUNTAIN TOP, PA 18707-1778
(570) 403-5000
(570) 693-6178
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OSOO51O5L
PA
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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