| Edward Stachowiak, MD | |
|
Routes 940 & 115, Blakeslee, PA 18610 | |
| (570) 646-8745 | |
| (570) 646-8962 |
| Full Name | Edward Stachowiak |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Routes 940 & 115, Blakeslee, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841227089 | NPI | - | NPPES |
| 001243308 | Medicaid | PA | |
| 0012433080007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD044630L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Stachowiak, MD 610 Wyoming Ave, Kingston, PA 18704-3702 Ph: (570) 288-5441 | Edward Stachowiak, MD Routes 940 & 115, Blakeslee, PA 18610 Ph: (570) 646-8745 |
Dr. Matthew Nicholas Kozicki, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Route 940 And 115, Blakeslee, PA 18610 Phone: 570-646-8745 | |
Dr. David A Testa, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5683 Route 115, Blakeslee, PA 18610 Phone: 570-355-7100 Fax: 570-420-2579 | |
Cindy Mariela Inga, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5683 Route 115, Blakeslee, PA 18610 Phone: 570-355-7100 Fax: 570-422-8076 | |
Joshua Shawn Clark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5683 Route 115, Blakeslee, PA 18610 Phone: 570-355-7100 |