Mark a Gonsky DO

General Practice Physician · Mountain Top, PA

Organization Active NPI

NPI number 1740428689

Practice location

111 S Mountain Blvd
Mountain Top, PA 18707-1921
Phone
(570) 403-5000
Fax
(570) 693-6178

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NPI record

NPI
1740428689
Entity type
Organization (Type 2)
Enumeration date
January 30, 2009
Last updated
January 30, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X OSOO51O5L PA

Mailing address

59 Loop Rd
Mountain Top, PA 18707-1778
Phone
(570) 403-5000
Fax
(570) 693-6178

Authorized official

Name
Dr. Mark Gonsky, DO
Title
Physican
Phone
(570) 403-5000

About Mark a Gonsky DO

Mark a Gonsky DO is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 111 S Mountain Blvd, Mountain Top, PA 18707-1921. The NPI number 1740428689 was assigned on January 30, 2009 and the record was last updated on January 30, 2009.

Mark a Gonsky DO lists a license in the registry: #OSOO51O5L (PA) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mark Gonsky, DO, Physican.

Frequently asked questions

What is the NPI number of Mark a Gonsky DO?

The NPI number is 1740428689.

What is the phone number of Mark a Gonsky DO?

The phone number listed for the practice location is (570) 403-5000.

Where is Mark a Gonsky DO located?

111 S Mountain Blvd, Mountain Top, PA 18707-1921.

What is the taxonomy code for Mark a Gonsky DO?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.