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Individual

MARK FUERTH SCHIOWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
545 N RIVER ST, SUITE 20, WILKES BARRE, PA 18702-2600
(570) 823-3089
(570) 822-0795
Mailing address
545 N RIVER ST, SUITE 20, WILKES BARRE, PA 18702-2600
(570) 823-3089
(570) 822-0795

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD023346E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009130620002
PA
01
072117
FIRST PRIORITY HEALTH
PA
01
34350
HEALTH AMERICA
PA
01
4075451
AETNA
PA
01
80580
UNISON
PA
01
P005802
CHAMPUS/TRICARE
PA
01
SC1626399
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/01/2006
Last updated
10/01/2007
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