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Individual

DR. JOHN MICHAEL SCALZONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
416 S MAIN ST, MANSFIELD, PA 16933-1510
(570) 662-2002
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
210773-1
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
MD058299L
PA
207VG0400X
Gynecology Physician
058299
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015849700003
PA
05
01864855
NY
01
160053538
RR MEDICARE PIN
NM
01
CC8362
RR MEDICARE GROUP
NY
Enumeration date
02/17/2006
Last updated
11/01/2023
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