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NPI Code Detail

MEDICARE: EYNON SURGERY CENTER

MEDICARE: EYNON SURGERY CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0800XEndoscopy Clinic/Center17241501PA

General Provider Information

NPI Number : 1730253782
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYNON SURGERY CENTER
Provider Business Mailing Address
First Line : 681 SCRANTON CARBONDALE HWY
Second Line :
City : EYNON
State : PA
Zip : 18403-1022
Country : US
Telephone Number : 570-876-5900
Fax Number : 570-876-5300
Provider Business Practice Location Address
First Line : 681 SCRANTON CARBONDALE HWY
Second Line :
City : EYNON
State : PA
Zip : 18403-1022
Country : US
Telephone Number : 570-876-5900
Fax Number : 570-876-5300
Authorized Official
Title or Position : PRESIDENT
Name : NAYAN C SHAH
Credential : M.D.
Telephone Number : 570-876-5900
Provider Enumeration Date : 11/20/2006
Last Update Date : 08/22/2020

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Directions to “EYNON SURGERY CENTER ” Practice Location

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