Advanced Inpatient Medicine Transitional Care PC
Internal Medicine in Wilkes Barre, PA. Organization (NPI-2).
NPI number1609247030
StatusActive
Last updated in NPPESFeb 24, 2022
Details
- NPI
- 1609247030
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Inpatient Medicine Transitional Care PC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2015
- Certification date
- Feb 24, 2022
- Last updated
- Feb 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OS007508L | PA | Yes |
| 207Q00000X | Family Medicine | OS007508L | PA |
Practice location
575 N River StWilkes Barre, PA 18764
Phone 570-552-4450 · Fax 570-552-4455
Mailing address
Po Box 69233Baltimore, MD 21264-9233
Phone 443-949-0814 · Fax 443-292-6814
Authorized official
Tim Delbrugge
Cfo
4439490814
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