Individual
DR. JOHN J. KRYSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2510
(570) 522-2705
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS004708L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001089173
—
PA
01
—
KR051133
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/24/2006
Last updated
05/24/2022
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