Active NPI 1295736742 Individual Practitioner Male Practitioner

Dr. Eric D Smith , DO

Internal Medicine • Clarks Summit, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Eric Smith, DO is a certified Internal Medicine practicing in Clarks Summit, PA. With approximately 25 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2001, Dr. Smith delivers high-quality medical care to the local community at 255 EAST GROVE STREET.

Dr. Smith is affiliated with The Wright Center Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

255 East Grove Street

Clarks Summit, PA 184111628

Telephone 5702097878

Fax 5702097715

Associated Practice Facility / Clinic

🏢 Brutico Foot And Ankle Surgery, Llc Facility NPI 1154057362

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Clarks Summit, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -12.3 yrs vs City Avg

City Avg: 37.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Clarks Summit, PA (7609 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (25 Years) 25 Yrs

Clarks Summit Specialty Average (37.3 Years) 37.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	428	292	$190.00	$85.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	238	$280.00	$119.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	347	346	$299.14	$122.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	199	90	$160.28	$72.28
99238 Hospital discharge day management, 30 minutes or less	74	68	$162.00	$76.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	66	$438.36	$159.89
G0008 Administration of influenza virus vaccine	47	46	$48.94	$30.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	19	$96.00	$46.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	42	$95.00	$50.40
99496 Transitional care management services for problem of high complexity	34	31	$300.00	$263.50
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	33	26	$225.76	$121.18
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	14	$50.00	$39.31
90658 Influenza vaccine, trivalent, 0.5 ml dosage	24	24	$65.00	$21.42
90653 Vaccine for influenza for injection into muscle	22	22	$150.00	$81.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$160.00	$52.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$440.00	$158.53
G0444 Annual depression screening, 5 to 15 minutes	17	17	$50.00	$17.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$323.21	$156.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$295.00	$105.41
99495 Transitional care management services for problem of at least moderate complexity	13	12	$250.00	$194.88
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	13	12	$171.15	$72.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	462	283	$280.09	$121.39
99213 Established patient office or other outpatient visit, typically 15 minutes	441	275	$190.00	$85.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	324	324	$300.00	$123.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	54	$160.27	$76.24
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	96	96	$50.00	$21.90
G0008 Administration of influenza virus vaccine	95	95	$50.00	$29.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	13	$35.00	$13.47
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	52	12	$35.00	$1.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	42	$95.00	$49.73
99238 Hospital discharge day management, 30 minutes or less	40	39	$162.00	$77.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$418.44	$167.25
G0444 Annual depression screening, 5 to 15 minutes	38	38	$50.00	$17.43
99496 Transitional care management services for problem of high complexity	36	35	$300.00	$263.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$160.00	$52.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	13	$96.00	$47.88
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	18	13	$150.00	$73.28
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	18	15	$192.78	$123.12
99495 Transitional care management services for problem of at least moderate complexity	14	14	$250.00	$194.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$310.71	$158.06
99344 New patient home visit, typically 1 hour	12	12	$243.75	$138.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	694	352	$233.55	$123.69
99213 Established patient office or other outpatient visit, typically 15 minutes	486	295	$162.31	$87.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	126	126	$40.00	$21.09
G0008 Administration of influenza virus vaccine	126	126	$50.00	$28.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$256.86	$126.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	23	$121.33	$69.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	14	$35.00	$13.51
99496 Transitional care management services for problem of high complexity	38	36	$300.00	$255.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$351.10	$192.12
99238 Hospital discharge day management, 30 minutes or less	20	19	$145.00	$69.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$360.00	$162.97
69210 Removal of impacted ear wax	17	16	$112.65	$46.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$95.00	$51.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$110.77	$55.03
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$238.64	$162.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	789	360	$171.65	$123.67
99213 Established patient office or other outpatient visit, typically 15 minutes	368	250	$122.55	$88.87
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	129	128	$40.00	$20.53
G0008 Administration of influenza virus vaccine	129	128	$40.00	$16.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$196.54	$129.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	26	$121.35	$70.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	19	$35.00	$13.78
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	49	13	$35.00	$1.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$248.50	$164.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	25	$344.57	$195.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	23	$95.00	$51.47
99238 Hospital discharge day management, 30 minutes or less	23	21	$145.00	$70.39
99496 Transitional care management services for problem of high complexity	22	19	$300.00	$261.07
69210 Removal of impacted ear wax	15	14	$89.00	$46.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$215.91	$177.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	598	325	$120.00	$105.53
99213 Established patient office or other outpatient visit, typically 15 minutes	411	281	$95.15	$72.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	81	$120.08	$71.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	27	$35.00	$13.87
G0008 Administration of influenza virus vaccine	99	98	$39.90	$16.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	77	$65.00	$40.28
99238 Hospital discharge day management, 30 minutes or less	81	75	$145.00	$71.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	74	$351.14	$199.43
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	19	$35.00	$1.95
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	56	56	$39.55	$19.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$160.00	$112.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$216.00	$157.49
90662 Influenza vaccine split virus, preservative free	44	44	$69.77	$60.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	31	$95.00	$51.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	15	$96.00	$39.20
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	24	23	$30.00	$14.33
99496 Transitional care management services for problem of high complexity	19	18	$300.00	$238.31
69210 Removal of impacted ear wax	16	15	$75.00	$47.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	14	$60.00	$18.74
99495 Transitional care management services for problem of at least moderate complexity	12	12	$250.00	$180.84
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	12	12	$491.00	$216.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	895	393	$119.97	$105.82
99213 Established patient office or other outpatient visit, typically 15 minutes	386	239	$95.00	$72.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	224	111	$119.69	$72.52
G0008 Administration of influenza virus vaccine	188	187	$35.00	$15.95
90662 Influenza vaccine split virus, preservative free	140	140	$65.00	$54.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	131	31	$35.00	$16.25
99238 Hospital discharge day management, 30 minutes or less	86	76	$145.00	$72.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	74	$350.24	$201.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	83	19	$35.00	$1.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$160.00	$114.10
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	49	49	$35.00	$18.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	24	$95.12	$39.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$217.22	$161.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	11	$100.00	$90.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	27	$95.00	$52.21
99496 Transitional care management services for problem of high complexity	24	22	$300.00	$227.11
69210 Removal of impacted ear wax	24	22	$75.00	$46.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	15	$100.00	$90.79
99495 Transitional care management services for problem of at least moderate complexity	20	19	$250.00	$160.80
99497 Advance care planning, first 30 minutes	17	17	$125.00	$84.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$165.83	$103.69
99220 Hospital observation care, typically 70 minutes	12	12	$375.00	$185.07
99217 Hospital observation care on day of discharge	12	12	$164.00	$72.58
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$200.00	$165.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	709	344	$120.00	$103.29
99213 Established patient office or other outpatient visit, typically 15 minutes	583	322	$94.84	$69.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	405	172	$113.30	$71.13
G0008 Administration of influenza virus vaccine	185	181	$34.62	$19.44
90662 Influenza vaccine split virus, preservative free	166	164	$65.00	$52.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	141	$327.97	$199.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	132	24	$35.00	$19.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	101	16	$35.00	$1.96
99239 Hospital discharge day management, more than 30 minutes	79	70	$217.00	$105.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	38	$88.33	$38.73
99238 Hospital discharge day management, 30 minutes or less	52	50	$136.13	$68.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$217.87	$159.92
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	16	$100.00	$89.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$160.00	$113.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	26	$95.00	$52.22
99497 Advance care planning, first 30 minutes	26	26	$125.00	$82.81
69210 Removal of impacted ear wax	25	23	$75.00	$47.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	20	$292.00	$134.96
99496 Transitional care management services for problem of high complexity	22	21	$300.00	$225.57
99217 Hospital observation care on day of discharge	19	19	$156.00	$71.87
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	18	$33.16	$17.67
99495 Transitional care management services for problem of at least moderate complexity	19	17	$250.00	$159.21
99306 Initial nursing facility visit, typically 45 minutes per day	17	15	$200.00	$164.09
99220 Hospital observation care, typically 70 minutes	16	16	$357.00	$183.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$154.58	$102.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	768	353	$119.99	$103.49
99213 Established patient office or other outpatient visit, typically 15 minutes	421	271	$95.06	$68.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	353	142	$113.34	$69.95
G0008 Administration of influenza virus vaccine	175	174	$35.00	$24.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	138	22	$35.00	$24.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	113	19	$35.00	$3.00
90662 Influenza vaccine split virus, preservative free	109	109	$65.00	$48.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$160.00	$111.44
99497 Advance care planning, first 30 minutes	94	94	$125.00	$79.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	73	$310.37	$198.75
99239 Hospital discharge day management, more than 30 minutes	72	66	$217.00	$103.52
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	65	65	$35.00	$11.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	61	51	$95.00	$51.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	44	15	$100.00	$89.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$220.00	$159.32
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	12	$50.00	$39.77
99495 Transitional care management services for problem of at least moderate complexity	28	25	$250.00	$157.31
69210 Removal of impacted ear wax	27	26	$75.00	$47.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$286.08	$134.26
99496 Transitional care management services for problem of high complexity	23	20	$300.00	$222.56
99220 Hospital observation care, typically 70 minutes	20	20	$357.00	$182.06
99238 Hospital discharge day management, 30 minutes or less	18	18	$138.00	$70.79
99217 Hospital observation care on day of discharge	18	18	$156.00	$71.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	15	$89.18	$38.53
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$85.00	$16.32
99306 Initial nursing facility visit, typically 45 minutes per day	12	11	$200.00	$163.46
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$150.00	$91.32

Medical Specialties & State Licenses

CMS Verified: 2024-12-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA OS 012156

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID First Priority

002709 (PA)

Hospital & Practice Group Affiliations

The Wright Center Medical Group

1800 Mulberry St, Scranton, PA 185102369

Phone: 5709410630

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Kathleen Doherty , CRNP

Nurse Practitioner - Primary Care

NPI 1629776125

Certified Registered Nurse Practitioner

Jodi Cieszkowski , REGISTERED NURSE

Internal Medicine

NPI 1891565016

REGISTEREDNURSE

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location December 18, 2024

Registered at 255 EAST GROVE STREET, CLARKS SUMMIT, PA 184111628 (Tel: 5702097878)

📍

Updated Business Mailing Address December 18, 2024

Registered at 255 EAST GROVE STREET, CLARKS SUMMIT, PA 184111628 (Tel: 5702097878)

✅

NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2014

Registered at 409 N MAIN AVE, SCRANTON, PA 185041798 (Tel: 5702097878)

📍

Updated Business Mailing Address August 26, 2014

Registered at 409 N MAIN AVE, SCRANTON, PA 185041798 (Tel: 5702097878)

👤

Provider Name / Credentials Updated August 26, 2014

Recorded as ERIC SMITH, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Internal Medicine (License #OS 012156 in PA)

🟢

Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295736742

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 09, 2005

Last Update: December 18, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

255 East Grove Street

Clarks Summit, PA 184111628

Phone: 5702097878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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