Main Street Pediatrics Of Greater Scranton
Pediatric Adolescent Medicine
Main Street Pediatrics Of Greater Scranton is a Dickson City, Pennsylvania based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
247 Main St # Pa, Dickson City, Pennsylvania - 18519-1641. They can be contacted on phone at
570-291-4180 and fax number 570-586-3953.
NPI number (Unique professional ID) for Main Street Pediatrics Of Greater Scranton is
1881253011 which was assigned by NPPES on 11 Jun, 2019 and it was last updated on 11 Jun, 2019.
Main Street Pediatrics Of Greater Scranton specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Main Street Pediatrics Of Greater Scranton basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Main Street Pediatrics Of Greater Scranton |
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Business Address:
Main Street Pediatrics Of Greater Scranton address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 247 Main St # Pa
Dickson City, PA, 18519-1641
United States |
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| Phone Number : | 570-291-4180 |
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| Fax Number : | 570-586-3953 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881253011 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 11 Jun, 2019 |
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| Last Updated On : | 11 Jun, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Annie Mcdonough |
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| Official Title or Position : | OFFICE MGR. |
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| Phone Number : | 570-291-4180 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Main Street Pediatrics Of Greater Scranton are as mentioned. Primary taxonomy code for Main Street Pediatrics Of Greater Scranton is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Main Street Pediatrics Of Greater Scranton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0011992910003 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 247 Main St # Pa
Dickson City, PA, 18519-1641
United States |
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| Phone Number : | 570-291-4180 |
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| Fax Number : | 570-586-3953 |
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Business Location:
Patients can refer following map for directions to
Main Street Pediatrics Of Greater Scranton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.