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Organization

KATHLEEN S. VEGLIA, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHLEEN S. VEGLIA M.D. (PRESIDENT)
(570) 454-5222
Entity
Organization

Contact information

Practice address
1525 N. CHURCT ST., HAZLE TOWNSHIP, PA 18202
(570) 454-5222
(570) 454-5967
Mailing address
1525 N. CHURCH ST., HAZLE TOWNSHIP, PA 18202
(570) 454-5222
(570) 454-5967

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD031654E
PA
207ZD0900X
Dermatopathology (Pathology) Physician
MD427833
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD427833
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011228860003
PA
Enumeration date
11/18/2009
Last updated
01/27/2010
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