Organization
ANGELINA THERESA BUCCI EYE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A BUCCI JR. M.D. (MEDICAL DIRECTOR)
(570) 825-5949
Entity
Organization
Contact information
Practice address
158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
(570) 825-5949
(570) 825-2645
Mailing address
158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
(570) 825-5949
(570) 825-2645
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01868435
—
PA
Enumeration date
10/20/2006
Last updated
08/22/2020
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