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

Scranton Temple Residency Program Faculty Services

Organization Internal Medicine Physician · NPI 1932195492

Scranton Temple Residency Program Faculty Services is an Internal Medicine Physician in Scranton, Pennsylvania. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

640 Madison Ave
Scranton, PA 18510-1624
Phone: (570) 941-0630
Fax: (570) 941-0648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1932195492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elisoro Primero — Chief Financial Officer · (570) 941-0630
NPI enumeratedSeptember 21, 2005
Last updated in NPPESJuly 24, 2008
Mailing address746 Jefferson Ave, Scranton, PA 18510-1624

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