Organization
PA PATIENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHRON MILWORM MD (PRESIDENT)
17186647109
Entity
Organization
Contact information
Practice address
722 CLAY AVE, SCRANTON, PA 18510-1728
(570) 565-9111
Mailing address
722 CLAY AVE, SCRANTON, PA 18510-1728
(570) 565-9111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
241004-1
NY
Other
Enumeration date
12/20/2011
Last updated
09/04/2012
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