| Organization Name: | POCONO MEDICAL CENTER |
| NPI Number: | 1245258649 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE RAGONE (MANAGER) |
| Mailing Address: | 200 E Brown St Suite B E Stroudsburg |
| State: | PA US |
| Postal Code: | 183013006 |
| Phone Number: | 5704206220 |
| Fax Number: | 5704206221 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |