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1790419968
SCOTT L BLAKIEWICZ
SCRANTON, PA
NPI
1790419968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA063600)
Enumeration Date
2022-07-13
Last Update Date
2022-10-26
Business Address
SCOTT L BLAKIEWICZ PA-C
3 W OLIVE ST
SCRANTON, PA 18508-2572
Phone number: 800-275-6401
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Mailing Address
SCOTT L BLAKIEWICZ PA-C
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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