| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184935934 | CHOI | ERWIN | JINHO | 529 TERRY REILEY WAY | POTTSVILLE | PA | 179011774 | |
| 1093083883 | GREENE | TRUDY | LYNN | 529 TERRY REILEY WAY | POTTSVILLE | PA | 179011774 | |
| 1205017092 | KUCZMARSKI | MICHAEL | BENJAMIN | 529 TERRY REILEY WAY | POTTSVILLE | PA | 179011774 | |
| 1487162699 | MAGARA | JOAB | ZEPHANIAH | 529 TERRY REILEY WAY | POTTSVILLE | PA | 179011774 |