39D0975175 CLIA NUMBER - INTERNAL MEDICINE OF BERWICK PC INC

Laboratory Demographics

CLIA Number: 39D0975175

Facility Name: INTERNAL MEDICINE OF BERWICK PC INC

Facility Address:
751 EAST 16TH STREET SUITE 300
BERWICK, PA
ZIP 18603
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Facility Phone Number: 570 752-5056

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265474670

Taxonomy: 207R00000X - Internal Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 39D0975175
LAB Type Physician Office
Facility Name INTERNAL MEDICINE OF BERWICK PC INC
Street 751 EAST 16TH STREET SUITE 300
City BERWICK
State PA
ZIP 18603
Phone 570 752-5056
CertificateType 4
CertificateEffectiveDate 6/29/2022
CertificateExpirationDate 6/28/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024