Cynthia Maczuga, M.D.

Individual provider Active NPI Family Medicine Physician · Freeland, PA

NPI 1134219926 · NPPES record last updated Nov 5, 2009

Key facts

NPI
1134219926
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD034785E (PA)
Practice address
404 Ridge Street
Freeland Health Center
Freeland, PA 18224-1805
Phone
(570) 636-1556
Fax
(570) 636-0985
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD034785E PA Yes

Addresses

Primary practice location

404 Ridge Street
Freeland Health Center
Freeland, PA 18224-1805

Mailing address

1084 Route 315
Wilkes-Barre, PA 18702-7012
Phone (570) 825-8741

Other providers in Freeland, PA

All providers in Freeland, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.