NPI 1053780981

Matthew Vinnacombe, PAC

Practitioner Medical Physician Assistant Moosic, PA

Practice location

Address: 340 Montage Mountain Rd, Moosic, PA 18507-1782
Phone: (570) 346-3686
Fax: (570) 558-6838

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence MA057709 (PA)

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Registry record

NPI: 1053780981
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2015
Record last updated: 26 Jul 2016

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.