Individual
DR. PRADEEPTO GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6020
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198647
PA
207RC0000X
Cardiovascular Disease Physician
51046
KY
207RC0000X
Cardiovascular Disease Physician
Primary
MD472164
PA
Other
Enumeration date
07/27/2011
Last updated
05/11/2022
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