SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICES
NPI 1932195492
Internal Medicine in Scranton, PA

Q: What is Scranton Temple Residency Program Faculty Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 21, 2005

640 MADISON AVE, SCRANTON, PA 18510(570) 941-0630(570) 941-0648 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Scranton Temple Residency Program Faculty Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICES (NPI 1932195492) is a healthcare organization registered as an internal medicine in Scranton, Pennsylvania and active in the NPI registry since September 2005. The organization lists Elisoro Primero, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1932195492

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSCRANTON TEMPLE RESIDENCY PROGRAM FACULTY SERVICES

Location Address640 MADISON AVEScranton, PA 18510-1624

Mailing Address746 Jefferson AveScranton, PA 18510-1624 · (570) 343-2383 · Fax (570) 963-6133

Phone(570) 941-0630

Fax(570) 941-0648

Organization SubpartNo

Authorized OfficialElisoro PrimeroChief Financial Officer · (570) 941-0630

Enumeration DateSeptember 21, 2005

Last NPPES UpdateJuly 24, 2008

✔ NPI 1932195492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

640 MADISON AVE, Scranton, PA 18510

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Other Identifiers 3

Medicaid001508252PA

Medicare UPINB39996

Medicare ID-Type UnspecifiedST730745

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY A AMICO

Registered Nurse