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Regenerative Physical Medicine Llc
General Practice Physician in Kingston, Pennsylvania
NPI 1942923693

Regenerative Physical Medicine Llc is a General Practice Physician based in Williamsport, PA. Regenerative Physical Medicine Llc practices in Kingston, PA. The NPI Number for Regenerative Physical Medicine Llc is 1942923693 and holds a License No. (Pennsylvania).

The current practice location address for Regenerative Physical Medicine Llc is 250 Pierce St Ste 103, Kingston, PA and can be reached out via phone at 570-287-1110 and via fax at 570-287-1121.

Location: 250 Pierce St Ste 103, Kingston, PA, 17701-5411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942923693
Provider Name
Regenerative Physical Medicine Llc
Credential
Provider Entity Type
Organization
Address
250 Pierce St Ste 103, Kingston, PA, 17701-5411
Phone Number
570-287-1110
Fax Number
570-287-1121
Provider Enumeration Date
09/19/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
250 Pierce St Ste 103
City
Kingston
State
Pennsylvania
Zip
18704-5149
Phone Number
570-287-1110
Fax Number
570-287-1121
person
Provider Business Mailing Address Details
Address
250 Pierce St Ste 103
City
Kingston
State
Pennsylvania
Zip
18704-5149
Phone Number
570-287-1110
Fax Number
570-287-1121
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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