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Organization

RHEUMATOLOGY & ARTHRITIS CENTER OF WYOMING VALLEY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GNANESH PATEL MD (SOLE MEMBER)
(201) 776-7815
Entity
Organization

Contact information

Practice address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 824-7117
(570) 825-7610
Mailing address
581 RUTTER AVE, KINGSTON, PA 18704-4718
(201) 776-7815

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
08/10/2020
Last updated
08/10/2020
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