Individual
ECATERINA IRIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702-5040
(570) 829-2621
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
215035
NY
208000000X
Pediatrics Physician
Primary
MD068933L
PA
208000000X
Pediatrics Physician
ME129688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017546950006
—
PA
05
—
02098680
—
NY
01
—
215035
STATE LICENSE
NY
01
—
ME129688
FLORIDA MEDICAL LICENSE
FL
Enumeration date
08/18/2005
Last updated
03/07/2023
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