| Comprehensive Family Practice Pc | |
|
102 Route 611 Ste 2 Bartonsville PA 18321-9439 | |
| (570) 619-0080 | |
| (570) 476-6213 |
| Full Name | Comprehensive Family Practice Pc |
|---|---|
| Speciality | General Practice |
| Location | 102 Route 611 Ste 2, Bartonsville, Pennsylvania |
| Authorized Official Name and Position | Yelena Kipervas (OWNER) |
| Authorized Official Contact | 5704218196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Family Practice Pc 401 Main St Stroudsburg PA 18360-2404 Ph: (570) 421-8196 | Comprehensive Family Practice Pc 102 Route 611 Ste 2 Bartonsville PA 18321-9439 Ph: (570) 619-0080 |
| NPI Number | 1356470231 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356470231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS011926 (Pennsylvania) | Primary |
St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3180 Route 611, Suite 22, Bartonsville, PA 18321 Phone: 570-664-8900 Fax: 570-664-8905 |