Organization Name: | PHYSICIANCARE PC |
NPI Number: | 1083765739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE TAMA (PRESIDENT/OWNER) |
Mailing Address: | 71 Hospital Dr Towanda |
State: | PA US |
Postal Code: | 188489702 |
Phone Number: | 5702656300 |
Fax Number: | 5702682807 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |