Organization
SWEET FAMILY PRACTICE PC -FP PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE SWEET DO (PHYSICIAN/OWNER)
(570) 268-6400
Entity
Organization
Contact information
Practice address
ROUTE 6 GOLDEN MILE, STE 341, WYSOX, PA 18854-0341
(570) 268-6400
(570) 268-6401
Mailing address
ROUTE 6 GOLDEN MILE, STE 341, WYSOX, PA 18854-0341
(570) 268-6400
(570) 268-6401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD061835L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014577730002
—
PA
Enumeration date
08/01/2008
Last updated
01/15/2009
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