Healthcare Provider Details

I. General information

NPI: 1518950914
Provider Name (Legal Business Name): BARBARA PLUCKNETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 NORTHERN BLVD STE 1
SOUTH ABINGTON TOWNSHIP PA
18411-9189
US

IV. Provider business mailing address

231 NORTHERN BLVD STE 1
SOUTH ABINGTON TOWNSHIP PA
18411-9189
US

V. Phone/Fax

Practice location:
  • Phone: 570-344-9997
  • Fax: 570-344-3158
Mailing address:
  • Phone: 570-344-9997
  • Fax: 570-344-3158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD059852-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: