| Eastern Poconos Internal Medicine | |
|
6977 Route 611 Olympia Plaza Stroudsburg PA 18360-9166 | |
| (570) 424-2025 | |
| (570) 424-2028 |
| Full Name | Eastern Poconos Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 6977 Route 611 Olympia Plaza, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Sethuraman Muthiah (OWNER/MEDICAL DOCTOR) |
| Authorized Official Contact | 5704242025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Poconos Internal Medicine 6977 Route 611 Olympia Plaza Stroudsburg PA 18360-9166 Ph: (570) 424-2025 | Eastern Poconos Internal Medicine 6977 Route 611 Olympia Plaza Stroudsburg PA 18360-9166 Ph: (570) 424-2025 |
| NPI Number | 1043580087 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043580087 | NPI | - | NPPES |
| 001663400 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD062954L (Pennsylvania) | Primary |
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