| Luzerne County General Practice Associates Llc | |
|
1701 Wyoming Ave Exeter PA 18643-1491 | |
| (570) 655-2959 | |
| (570) 655-9213 |
| Full Name | Luzerne County General Practice Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Wyoming Ave, Exeter, Pennsylvania |
| Authorized Official Name and Position | Andrew J Stuka (SOLE MBR) |
| Authorized Official Contact | 5706552959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luzerne County General Practice Associates Llc 1701 Wyoming Ave Exeter PA 18643-1491 Ph: (570) 655-2959 | Luzerne County General Practice Associates Llc 1701 Wyoming Ave Exeter PA 18643-1491 Ph: (570) 655-2959 |
| NPI Number | 1790961274 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790961274 | NPI | - | NPPES |
| 1999580 | Other | PA | HIGHMARK BLUE SHIELD |
| 1289 | Other | PA | FIRST PRIORITY HEALTH |
| 1999580 | Other | PA | FIRST PRIORITY LIFE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS003170L (Pennsylvania) | Primary |
Joseph Radzwilka Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Donnas Way, Exeter, PA 18643 Phone: 570-760-6531 Fax: 570-299-2272 |