Organization Name: | FRANK GARY ROMASCAVAGE DO |
NPI Number: | 1487830634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK GARY ROMASCAVAGE (OSTEOPATHIC PHYSICIAN) |
Mailing Address: | Route 209 Brodheadsville |
State: | PA US |
Postal Code: | 183220040 |
Phone Number: | 5709925500 |
Fax Number: | 5709922035 |
NPI Enumeration Date: | 01/18/2008 |
NPI Last Update Date: | 01/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |