Organization · Type 2 NPI

Pediatric Practices of Northeastern PA

Rural Health Clinic/Center · Waymart, PA

NPI number 1578895538 Active

Practice location

27B Woodlands Dr
Waymart, PA 18472-9366

Call (570) 448-9550 Map

Fax (570) 488-9553

Mailing address

1837 Fair Ave
Honesdale, PA 18431-2121

Other practice locations

1837 Fair Ave, Honesdale, PA 18431-2121 · (570) 253-5838

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1578895538
Entity type: Organization (Type 2)
Issued: Feb 2, 2010
Last updated: Jul 23, 2019
Status: Active

Other names

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Pediatric Practices of Northeastern PA · other name
Pediatric Practices of Northeastern PA · other name

Authorized official

Dr. Robert Morton, MD
Partner
(570) 253-5838

Verify this record

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 1578895538

Pediatric Practices of Northeastern PA's National Provider Identifier is 1578895538, issued on Feb 2, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Waymart, PA. The record was last updated on Jul 23, 2019.