Healthcare Provider Details

I. General information

NPI: 1912103052
Provider Name (Legal Business Name): ALON YARKONI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MULBERRY ST
SCRANTON PA
18510-2369
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-703-4830
  • Fax: 570-703-4835
Mailing address:
  • Phone: 570-703-4830
  • Fax: 570-703-4835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD441500
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: