MEDICARE: DR. ANDREA ARGESON MD

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
1	2080A0000X	Pediatric Adolescent Medicine Physician	MD068228L	PA
2	208000000X	Pediatrics Physician	MD068228L	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1255327177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA ARGESON MD

Provider Business Mailing Address
First Line	:	208 LIFELINE RD
Second Line	:	STE 201
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-7566
Country	:	US
Telephone Number	:	570-476-6700
Fax Number	:	570-476-0124

Provider Business Practice Location Address
First Line	:	208 LIFELINE RD
Second Line	:	STE 201
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-7566
Country	:	US
Telephone Number	:	570-476-6700
Fax Number	:	570-476-0124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	05/02/2013

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