Organization
SCHUYLKILL MEDICAL CENTER-EAST NORWEGIAN STREET
Active
Other names
Schuylkill Medical Center-East Norwegian Street-Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL DOUGHERTY (SUPERVISOR)
(570) 621-4686
Entity
Organization
Contact information
Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4686
Mailing address
700 E NORWEGIAN ST, P.O. BOX 239, POTTSVILLE, PA 17901-2710
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007604490042
—
PA
Enumeration date
06/10/2009
Last updated
06/29/2009
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