| Good Shepherd Corporation | |
|
1327 Wyoming Ave Scranton PA 18509-2861 | |
| (570) 702-8360 | |
| (570) 702-8623 |
| Full Name | Good Shepherd Corporation |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 1327 Wyoming Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | John Antognoli (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5707028360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Corporation 1327 Wyoming Ave Scranton PA 18509-2861 Ph: (570) 702-8360 | Good Shepherd Corporation 1327 Wyoming Ave Scranton PA 18509-2861 Ph: (570) 702-8360 |
| NPI Number | 1477689842 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477689842 | NPI | - | NPPES |
| 1007283070003 | Medicaid | PA |
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