| Endocrinology Clinic P.c. | |
|
1090 N Church St 200 Hazleton Professional Plaza Hazle Township PA 18202-1480 | |
| (570) 455-0100 | |
| (570) 455-0177 |
| Full Name | Endocrinology Clinic P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1090 N Church St, Hazle Township, Pennsylvania |
| Authorized Official Name and Position | Ayse Karca Mohyuddin (PRESIDENT) |
| Authorized Official Contact | 5704550100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Clinic P.c. 1090 N Church St 200 Hazleton Professional Plaza Hazle Township PA 18202-1480 Ph: (570) 455-0100 | Endocrinology Clinic P.c. 1090 N Church St 200 Hazleton Professional Plaza Hazle Township PA 18202-1480 Ph: (570) 455-0100 |
| NPI Number | 1154855898 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Medicare PECOS PAC ID | 3375815343 |
|---|---|
| Medicare Enrollment ID | O20170825001667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154855898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD438286 (Pennsylvania) | Primary |
| Provider Name | Ayse Karca Mohyuddin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669670535 PECOS PAC ID: 7810169018 Enrollment ID: I20111012000546 |
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