Cleanslate Medical Group of Pennsylvania LLC
Cleanslate Medical Group of Pennsylvania LLC is an Addiction Medicine (Internal Medicine) Physician in Wilkes Barre, Pennsylvania. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 N Wilkes Barre Blvd Ste 103Wilkes Barre, PA 18702-5240
Phone: (413) 584-2173
Fax: (833) 279-7074
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Addiction Medicine (Internal Medicine) Physician | Taxonomy 207RA0401X |
Record details
| NPI number | 1184177263 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Smolarek — Cfo · (412) 999-5188 |
| NPI enumerated | July 26, 2016 |
| Last updated in NPPES | December 17, 2025 |
| Certification date | December 17, 2025 |
| Mailing address | 8 Cadillac Dr Ste 300, Brentwood, TN 37027-5337 |