Individual provider · Type 1 NPI

Nikolas Griffin Gushka, PA-C

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1073115754 Active

Practice location

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027

Call (570) 808-7300 Map

Mailing address

408 Union St
Exeter, PA 18643-1079

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA062026 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1073115754

Nikolas Griffin Gushka, PA-C's National Provider Identifier is 1073115754, issued on Nov 9, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilkes Barre, PA. The record was last updated on Nov 9, 2020.