Individual
KRISTINA TANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 SOUTH WASHINGTON AVE, SUITE 100 THE WRIGHT CENTER F, SCRANTON, PA 18505
(570) 591-5255
Mailing address
501 SOUTH WASHINGTON AVE, SUITE 100 THE WRIGHT CENTER F, SCRANTON, PA 18505
(570) 591-5255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD470565
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/06/2017
Last updated
12/15/2020
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