Organization
ANESTHESIA ASSOC. OF SCHUYLKILL COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S HAWK (BUSINESS MGR)
(570) 421-8196
Entity
Organization
Contact information
Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4000
(570) 476-6213
Mailing address
401 MAIN ST, STROUDSBURG, PA 18360-2404
(570) 421-8196
(570) 476-6213
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000101335331
—
PA
Enumeration date
02/28/2007
Last updated
12/05/2007
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