Organization · Type 2 NPI

Pocono Medical Center

Vascular Surgery Physician · Stroudsburg, PA

NPI number 1730464405 Active

Practice location

600 Commerce Blvd
Stroudsburg, PA 18360-6214

Call (570) 426-2960 Map

Fax (570) 426-2965

Mailing address

206 E Brown St, Pocono Healthcare Management-Professional Center
East Stroudsburg, PA 18301-3006

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

21 other providers at this address

NPI record

NPI: 1730464405
Entity type: Organization (Type 2)
Issued: Oct 13, 2011
Last updated: Aug 29, 2014
Status: Active
Subpart: Yes of Pocono Medical Center

Other names

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PMC Physician Associates Vascular 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 1730464405

Pocono Medical Center's National Provider Identifier is 1730464405, issued on Oct 13, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Stroudsburg, PA. The record was last updated on Aug 29, 2014.