MEDICARE: BARBARA PLUCKNETT 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	207VG0400X	Gynecology Physician	MD059852-L	PA

General Provider Information

NPI Number	:	1518950914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA PLUCKNETT MD

Provider Business Mailing Address
First Line	:	231 NORTHERN BLVD STE 1
Second Line	:
City	:	SOUTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18411-9189
Country	:	US
Telephone Number	:	570-344-9997
Fax Number	:	570-344-3158

Provider Business Practice Location Address
First Line	:	231 NORTHERN BLVD STE 1
Second Line	:
City	:	SOUTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18411-9189
Country	:	US
Telephone Number	:	570-344-9997
Fax Number	:	570-344-3158

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/20/2021

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