Individual
DR. LOUIS PATRICK DEGENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 JEFFERSON AVE, SCRANTON, PA 18510-1007
(570) 346-7900
(570) 963-5060
Mailing address
940 JEFFERSON AVE, SCRANTON, PA 18510-1007
(570) 346-7900
(570) 963-5060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD010124E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009356960002
—
PA
Enumeration date
07/28/2005
Last updated
04/20/2012
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