NPI 1053428037

Vamc

Organisation Special Hospital Wilkes Barre, PA

Practice location

Address: 1111 E End Blvd, Wilkes Barre, PA 18711-0030
Phone: (570) 824-3521
Mailing address: 118 Timberwood Dr, Mountain Top, PA 18707-1850

Authorised official

Name: Stanley Sin-Chen Chang
Title: Staff Physician
Phone: (570) 824-3521

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence MD035363L (PA)

Other Special Hospital providers in Pennsylvania →

Registry record

NPI: 1053428037
Entity type: Organization
NPI issued: 24 Aug 2006
Record last updated: 22 Aug 2020

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.