Endocrinology Clinic P.C.

Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Hazle Township, PA

NPI 1154855898 · NPPES record last updated Apr 19, 2017

Key facts

NPI
1154855898
Entity type
Organization (NPI type 2)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License
MD438286 (PA)
Legal business name
ENDOCRINOLOGY CLINIC P.C.
Practice address
1090 N Church St
200 Hazleton Professional Plaza
Hazle Township, PA 18202-1480
Phone
(570) 455-0100
Fax
(570) 455-0177
NPI assigned
Apr 19, 2017
Organization subpart
No

Authorized official

Name
Dr. Ayse Karca Mohyuddin, MD NPI 1669670535
Title
President
Phone
(570) 455-0100

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1090 N Church St
#200
Hazle Township, PA 18202
Phone (570) 455-0100

1090 N Church St
Ste 200
Hazle Township, PA 18202
Phone (570) 455-0100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RE0101X MD438286 PA Yes

Addresses

Primary practice location

1090 N Church St
200 Hazleton Professional Plaza
Hazle Township, PA 18202-1480

Mailing address

1090 N Church St
200 Hazleton Professional Plaza
Hazle Township, PA 18202-1480
Phone (570) 455-0100

Other providers in Hazle Township, PA

All providers in Hazle Township, PA · Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.