Organization Name: | NORTHSTAR NONURGENT CARE |
NPI Number: | 1659698249 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE MANJA (MD) |
Mailing Address: | 2733 Buttermilk Rd Hellertown |
State: | PA US |
Postal Code: | 180553358 |
Phone Number: | 6104171881 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2010 |
NPI Last Update Date: | 04/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | MD058653-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |