Organization Name: | REDI CARE PHYSICIANS, INC |
NPI Number: | 1568417418 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN W CARUNO (PRESIDENT) |
Mailing Address: | 2461 Nazareth Rd 25th St. Shopping Center Easton |
State: | PA US |
Postal Code: | 180452743 |
Phone Number: | 6102585300 |
Fax Number: | 6102585138 |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 08/28/2008 |
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: |