Individual
JOHN J SIROTNAK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 W OLIVE ST, SCRANTON, PA 18508-2572
(570) 558-2100
(570) 558-2101
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
11880
ND
207Y00000X
Otolaryngology Physician
Primary
MD042488L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015336490003
—
PA
05
—
15737
—
ND
Enumeration date
02/03/2006
Last updated
03/08/2021
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