Providence Pediatrics, Pc
Pediatrics
Providence Pediatrics, Pc is a Williamsport, Pennsylvania based Pediatric center with medical specialization in
General Pediatrics. Providence Pediatrics, Pc is also known as
Providence Pediatrics.
It is located at
338 Russell Avenue, Williamsport, Pennsylvania - 17701. They can be contacted on phone at
570-326-5720 and fax number 570-601-1522.
NPI number (Unique professional ID) for Providence Pediatrics, Pc is
1265575955 which was assigned by NPPES on 14 Feb, 2007 and it was last updated on 11 Jan, 2011.
Providence Pediatrics, Pc license number is
MD046306-L for Pediatrics (208000000X) in Pennsylvania.
Providence Pediatrics, Pc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Providence Pediatrics, Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Providence Pediatrics, Pc |
|---|
| Other Name : | Providence Pediatrics |
|---|
Business Address:
Providence Pediatrics, Pc 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 : | 338 Russell Avenue
Williamsport, PA, 17701
United States |
|---|
| Phone Number : | 570-326-5720 |
|---|
| Fax Number : | 570-601-1522 |
|---|
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 : | 1265575955 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 Feb, 2007 |
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| Last Updated On : | 11 Jan, 2011 |
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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 : | Joseph Demay |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 570-326-5720 |
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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 Providence Pediatrics, Pc are as mentioned. Primary taxonomy code for Providence Pediatrics, Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | MD046306L | PA |
| 208000000X | Pediatrics | Yes | MD046306-L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Providence Pediatrics, Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0012712310004 | 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 : | 338 Russell Avenue
Williamsport, PA, 17701
United States |
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| Phone Number : | 570-326-5720 |
|---|
| Fax Number : | 570-601-1522 |
|---|
Business Location:
Patients can refer following map for directions to
Providence Pediatrics, Pc 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.