Organization
PEDIATRIC PRACTICES OF NORTHEASTERN PA
Active
Other names
Pediatric Practices of Northeastern PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MORTON MD (PARTNER)
(570) 253-5838
Entity
Organization
Contact information
Practice address
510 ROUTE 6 AND 209, SUITE 103, MILFORD, PA 18337-7615
(570) 296-4901
(570) 253-1245
Mailing address
1837 FAIR AVE, HONESDALE, PA 18431
(570) 296-4901
(570) 296-5480
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007422260004
—
PA
05
—
1007422260010
—
PA
Enumeration date
01/13/2010
Last updated
06/01/2015
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