Organization · Type 2 NPI

Pocono Medical Center

Plastic and Reconstructive Surgery Physician · East Stroudsburg, PA

NPI number 1245258649 Active

Practice location

200 E Brown St, Suite B
East Stroudsburg, PA 18301-3006

Call (570) 420-6220 Map

Fax (570) 420-6221

Mailing address

206 E Brown St, Pocono Healthcare Mgmt. - Profesional Bldg.
East Stroudsburg, PA 18301-3006

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

23 other providers at this address

NPI record

NPI: 1245258649
Entity type: Organization (Type 2)
Issued: Jul 17, 2006
Last updated: Aug 29, 2014
Status: Active
Subpart: Yes of Pocono Medical Center

Other names

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Pocono Plastic and Reconstructive Surgery · doing business as

Authorized official

Jane Ragone
Manager
(570) 420-4970

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245258649

Pocono Medical Center's National Provider Identifier is 1245258649, issued on Jul 17, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in East Stroudsburg, PA. The record was last updated on Aug 29, 2014.