MEDICARE: PAUL FRANCIS REMICK DO

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	207Q00000X	Family Medicine Physician	0S004041-L	PA
2	207Q00000X	Family Medicine Physician	25MB03520600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1094	OTHER	FIRST PRIORITY HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	164317	OTHER	BCBS

General Provider Information

NPI Number	:	1699767087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL FRANCIS REMICK DO

Provider Business Mailing Address
First Line	:	3 W OLIVE ST
Second Line	:	SUITE 201
City	:	SCRANTON
State	:	PA
Zip	:	18508-2572
Country	:	US
Telephone Number	:	570-961-9947
Fax Number	:	570-341-5043

Provider Business Practice Location Address
First Line	:	1721 N MAIN AVE
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-1903
Country	:	US
Telephone Number	:	570-346-8417
Fax Number	:	570-344-3778

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	08/22/2013

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Directions to “ PAUL FRANCIS REMICK DO” Practice Location

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