Mo Medical Management INC.
Clinic/Center, Multi-Specialty in Kingston, PA. Organization (NPI-2).
NPI number1083161970
StatusActive
Last updated in NPPESSep 8, 2016
Details
- NPI
- 1083161970
- Entity type
- Organization (NPI-2)
- Legal business name
- Mo Medical Management INC.
- Organization subpart
- No
- Enumeration date
- Sep 8, 2016
- Last updated
- Sep 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
675 Wyoming AvenueKingston, PA 18704-3831
Phone 570-288-4205 · Fax 570-288-4889
Mailing address
675 Wyoming AvenueKingston, PA 18704-3831
Phone 570-288-4205 · Fax 570-288-4889
Authorized official
Philip James Mertz
President
5702884205
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