Marilynn C Ksiazek


Address: 313 E Drinker St, Dunmore, PA 18512-2408

Marilynn C Ksiazek (NPI# 1689766156, PAC ID# 7214125103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.

Physician Overview

Nation Provider ID (NPI) 1689766156
PAC ID by PECOS 7214125103
Professional Enrollment ID I20101220000203
Full Name Marilynn C Ksiazek
Address 313 E Drinker St
Dunmore
PA 18512-2408
Gender F
Graduation Year 1979
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
313 E Drinker St, Dunmore, PA 18512-2408

Organization Information

Office Location

Street Address 313 E DRINKER ST
City DUNMORE
State PA
Zip 18512-2408

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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