| Immediate Care Medical Center,inc | |
|
349 Pierce St Kingston PA 18704-5120 | |
| (570) 288-2300 | |
| (570) 288-2298 |
| Full Name | Immediate Care Medical Center,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 349 Pierce St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Anthony Giardina (DOCTOR) |
| Authorized Official Contact | 5702882300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Care Medical Center,inc 349 Pierce St Kingston PA 18704-5120 Ph: (570) 288-2300 | Immediate Care Medical Center,inc 349 Pierce St Kingston PA 18704-5120 Ph: (570) 288-2300 |
| NPI Number | 1316942345 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 05/09/2013 |
| Medicare PECOS PAC ID | 8820036742 |
|---|---|
| Medicare Enrollment ID | O20050421000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316942345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS-002974-L (Pennsylvania) | Primary |
| Provider Name | Anthony I Giardina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003879560 PECOS PAC ID: 3274729611 Enrollment ID: I20101124000058 |
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