Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Pocono Family Practice Center

Organization Family Medicine Physician · NPI 1194803825

Mt Pocono Family Practice Center is a Family Medicine Physician in Pocono Lake, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

Rt 940 147
Pocono Lake, PA 18347
Phone: (570) 646-6905
Fax: (570) 646-6009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD040378L (PA)

Record details

NPI number1194803825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Ptakowski — Owner · (570) 646-6905
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressRt 940, Po Box 147, Pocono Lake, PA 18347

Other providers in Pocono Lake