Healthcare Provider Details

I. General information

NPI: 1528145968
Provider Name (Legal Business Name): DAUL F. REMICK, DO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 N MAIN AVE
SCRANTON PA
18508-1995
US

IV. Provider business mailing address

1721 N MAIN AVE
SCRANTON PA
18508-1995
US

V. Phone/Fax

Practice location:
  • Phone: 570-346-8417
  • Fax: 570-344-3778
Mailing address:
  • Phone: 570-346-8417
  • Fax: 570-344-3778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS004041L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. PAUL F REMICK
Title or Position: OWNER
Credential: DO
Phone: 570-346-8417