Organization
ALICE MC CORMICK DO PC
Active
Organization
ALICE MC CORMICK DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ARNONI (ADMINISTRATOR)
(570) 969-0663
Entity
Organization
Contact information
Practice address
1565 ROUTE 507, GREENTOWN, PA 18426-4503
(570) 676-4276
(570) 969-9697
Mailing address
3 W OLIVE ST, SUITE 201, SCRANTON, PA 18508-2572
(570) 969-0663
(570) 969-9697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS004730L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010358980008
—
PA
Enumeration date
03/28/2007
Last updated
08/22/2020
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