Provider Demographics
NPI:1609055045
Name:BESSOIR, CHERYL U (PAC)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:U
Last Name:BESSOIR
Suffix:
Gender:F
Credentials:PAC
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Mailing Address - Street 1:327 N WASHINGTON AVE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1549
Mailing Address - Country:US
Mailing Address - Phone:570-961-5522
Mailing Address - Fax:570-961-5579
Practice Address - Street 1:327 N WASHINGTON AVE
Practice Address - Street 2:SUITE #200
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1549
Practice Address - Country:US
Practice Address - Phone:570-961-5522
Practice Address - Fax:570-961-5579
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2010-02-22
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Provider Licenses
StateLicense IDTaxonomies
PAMA053257363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant