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NPI Code Detail

MEDICARE: STEFAN MICHAEL SINCO D.O.

MEDICARE: STEFAN MICHAEL SINCO D.O.
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
1207X00000XOrthopaedic Surgery PhysicianOS010171-LPA
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician054671GA
3207X00000XOrthopaedic Surgery PhysicianDO27136OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083600225
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFAN MICHAEL SINCO D.O.
Provider Business Mailing Address
First Line : 206 E BROWN ST
Second Line : POCONO HEALTHCARE MANAGEMENT
City : EAST STROUDSBURG
State : PA
Zip : 18301-3006
Country : US
Telephone Number : 570-420-4951
Fax Number : 570-476-3754
Provider Business Practice Location Address
First Line : 200 E BROWN ST
Second Line : PMC PHYSICIAN ASSOCIATES ORTHOPAEDIC SURGERY
City : EAST STROUDSBURG
State : PA
Zip : 18301-3006
Country : US
Telephone Number : 570-476-3700
Fax Number : 570-476-3637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 03/14/2025

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