Geriatric Research & Consulting Group LLC
Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Bear Creek Township, PA
NPI 1003074600 · NPPES record last updated Jul 10, 2008
Key facts
- NPI
- 1003074600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- OS005253L (PA)
- Legal business name
- GERIATRIC RESEARCH & CONSULTING GROUP LLC
- Practice address
- 1200 Aleeda Blvd
Bear Creek Township, PA 18702-9611 - Phone
- (570) 829-1095
- NPI assigned
- May 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Mario Cornacchione, D.O
- Title
- Owner
- Phone
- (570) 829-1095
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X | OS005253L | PA | Yes |
Addresses
Primary practice location
1200 Aleeda Blvd
Bear Creek Township, PA 18702-9611
Mailing address
1200 Aleeda Blvd
Bear Creek Township, PA 18702-9611
Phone (570) 829-1095
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS005253 | Other | PA | MEDICAL LICENSE |
Other names
- Northeast Pennsylvania Memory and Alzheimers Center
Other providers in Bear Creek Township, PA
- Allied Health Care Services
- Bear Creek Buck Township Ambulance Association
- Bear Creek Community Charter School
- Caitlin Ann Casey
- Stephanie Lilly
- Leah Marie Popple
- Restore Abundant Health LLC
- Robin A Rodeghiero
- Amanda L Sekusky
All providers in Bear Creek Township, PA · Geriatric Medicine (Family Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.