Individual
JOSEPH D PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1177 HIGHWAY 315 BLVD, DOLPHIN PLAZA, WILKES BARRE, PA 18702-6928
(570) 270-5713
(570) 270-5719
Mailing address
1177 HIGHWAY 315 BLVD, DOLPHIN PLAZA, WILKES BARRE, PA 18702-6928
(570) 270-5713
(570) 270-5719
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
OS006388E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012537990015
—
PA
01
—
826759
FIRST PRIORITY HEALTH
PA
01
—
8749
GEISINGER
PA
Enumeration date
07/29/2005
Last updated
12/13/2021
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