Organization
ANGELINA THERESA BUCCI EYE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A BUCCI JR. M.D. (MEDICAL DIRECTOR)
(570) 970-1441
Entity
Organization
Contact information
Practice address
158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
(570) 970-1414
(570) 825-1414
Mailing address
158 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6704
(570) 970-1414
(570) 825-1414
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
1476
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018684350002
—
PA
Enumeration date
02/22/2007
Last updated
08/22/2020
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