Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1124028386
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
802, Jefferson Avenue, The Hill Section, Scranton, Lackawanna County, Pennsylvania, 18510, United States
4TH FLOOR
SCRANTON, PA 185101038
Phone: (570) 496-1154
Fax: (570) 496-1169
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 18510)
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