CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC

Multi-Specialty Clinic/Center · WILKES BARRE, PA

Organization Active NPI 1184177263

Taxonomy & licensure

Specialty	Code	Primary	License	State
Multi-Specialty Clinic/Center	261QM1300X	✓	—	—
Addiction Medicine (Internal Medicine) Physician	207RA0401X		—	—

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See all Multi-Specialty Clinic/Center providers in Pennsylvania →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.