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NPI Code Detail

MEDICARE: GASTROINTESTINAL CONSULTANTS OF NEPA

MEDICARE: GASTROINTESTINAL CONSULTANTS OF NEPA
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
1207RG0100XGastroenterology PhysicianPA

General Provider Information

NPI Number : 1912905605
Entity Type Code : Organization
Provider Name (Legal Business Name) : GASTROINTESTINAL CONSULTANTS OF NEPA
Provider Business Mailing Address
First Line : 517 ASH ST
Second Line : STE 1
City : SCRANTON
State : PA
Zip : 18509-2903
Country : US
Telephone Number : 570-969-6100
Fax Number : 570-983-0267
Provider Business Practice Location Address
First Line : 517 ASH ST
Second Line : STE 1
City : SCRANTON
State : PA
Zip : 18509-2903
Country : US
Telephone Number : 570-969-6100
Fax Number : 570-983-0267
Authorized Official
Title or Position : PRESIDENT
Name : DAVID RUTTA
Credential : MD
Telephone Number : 570-969-6100
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/19/2023

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Directions to “GASTROINTESTINAL CONSULTANTS OF NEPA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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