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

Scranton Cardiovascular Physician Services LLC

Organization Cardiovascular Disease Physician · NPI 1366725418

Scranton Cardiovascular Physician Services LLC is a Cardiovascular Disease Physician in Scranton, Pennsylvania. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

743 Jefferson Ave Ste 305
Scranton, PA 18510-1639
Phone: (570) 342-1776
Fax: (570) 207-1910
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1366725418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Senior Director Provider Enrollment · (877) 892-9815
NPI enumeratedSeptember 26, 2011
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address4000 Meridian Blvd, Franklin, TN 37067-6325

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