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Organization

TERIBURY MEDICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK L TERIBURY JR. M.D. (OWNER)
(570) 882-7401
Entity
Organization

Contact information

Practice address
114 DESMOND ST, SAYRE, PA 18840-2084
(570) 882-7401
(570) 882-7404
Mailing address
114 DESMOND ST, SAYRE, PA 18840-2084
(570) 882-7401
(570) 882-7404

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD427223
PA

Other

Enumeration date
06/19/2007
Last updated
01/03/2011
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