Organization
ENDOCRINE SPECIALTY GROUP INC.
Active
Other names
Coordinated Care of Kingston
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT FELLERMAN M.D. (PRESIDENT)
(570) 714-9322
Entity
Organization
Contact information
Practice address
183 MARKET ST, KINGSTON, PA 18704-5444
(570) 714-9322
(570) 714-8750
Mailing address
644 GIBSON AVE, KINGSTON, PA 18704-5320
(570) 283-4806
(570) 283-3044
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD010836E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376648444
INDIVIDUAL NPI NUMBER
PW
Enumeration date
03/20/2007
Last updated
08/22/2020
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