Edward Stish

NPI 1841119047 · on the registry since 2026

Practice

Address: 1711 E Broad St
Hazleton, PA 18201
Phone: (570) 453-5100
Organisation at this address: Op Hazelton, Llc
1711 East Broad Street Opco Llc
Manor At St. Luke Village Facility Operations, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

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