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1786 /2 E 3RD ST WILLIAMSPORT PA 177013862
JAMES MCCLEAVEY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1801873856. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2365420627. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is GREATER NORTHEAST RADIOLOGY ASSOCIATES PC. The address is 1786 /2 E 3RD ST, , WILLIAMSPORT, PA, 177013862. The zip code is 177013862.
|Nation Provider ID||1801873856|
|PAC ID by PECOS||2365420627|
|Professional Enrollment ID||I20110819000321|
|Medical School Name||STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER|
|Primary Specialty||DIAGNOSTIC RADIOLOGY|
|All secondary specialties|
|Organization Name||GREATER NORTHEAST RADIOLOGY ASSOCIATES PC|
|Group Practice PAC ID||8628252962|
|Number of Group Practice members||5|
|Address||1786 /2 E 3RD ST, , WILLIAMSPORT, PA, 177013862|
|Hospital affiliation LBN|