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

Scranton Temple Residency Program Faculty Service

Organization Internal Medicine Physician · NPI 1164439006

Scranton Temple Residency Program Faculty Service is an Internal Medicine Physician in Jermyn, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

5 S Washington Ave
Jermyn, PA 18433
Phone: (570) 383-9934
Fax: (570) 383-6258
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence SP007899 (PA)

Record details

NPI number1164439006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elidoru Primpro — Chief Financial Officer · (570) 941-0630
NPI enumeratedAugust 2, 2006
Last updated in NPPESJuly 24, 2008
Mailing address746 Jefferson Avenue, Scranton, PA 18510

Other providers in Jermyn