Search › Pennsylvania › 213E00000X
Jackson Towers
NPI 1083292106 · on the registry since 2021
Practice
- Address
- 1155 East Mountain Blvd
Wilkes Barre, PA 18702 - Phone
- (570) 808-3362
- Fax
- (570) 808-5114
- Organisation at this address
- Geisinger Wyoming Valley Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 73
Additional practice sites
- 1800 Mulberry St, Scranton, PA
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania