NPI 1003074600

Geriatric Research & Consulting Group LLC

Organisation Geriatric Medicine (Family Medicine) Physician Bear Creek Township, PA

Practice location

Address: 1200 Aleeda Blvd, Bear Creek Township, PA 18702-9611
Phone: (570) 829-1095

Authorised official

Name: Mario Cornacchione
Title: Owner
Phone: (570) 829-1095

Registered specialties

Geriatric Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X Licence OS005253L (PA)

Other Family Medicine providers in Pennsylvania →

Registry record

NPI: 1003074600
Entity type: Organization
NPI issued: 30 May 2008
Record last updated: 10 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.