Healthcare Provider Details

I. General information

NPI: 1659493534
Provider Name (Legal Business Name): CIANNI AND SHERWIN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 ASH ST SUITE 1
SCRANTON PA
18509-2903
US

IV. Provider business mailing address

517 ASH ST SUITE 1
SCRANTON PA
18509-2903
US

V. Phone/Fax

Practice location:
  • Phone: 570-969-6100
  • Fax: 570-983-0267
Mailing address:
  • Phone: 570-969-6100
  • Fax: 570-983-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: RONALD J CIANNI
Title or Position: OWNER
Credential: MD
Phone: 570-969-6100