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Organization
PHYSICIANCARE, PC
Active
Organization
PHYSICIANCARE, PC
Active
Other names
Laceyville Office
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE TAMA MD (PRESIDENT/OWNER)
(570) 265-6300
Entity
Organization
Contact information
Practice address
104 MAIN ST., LACEYVILLE, PA 18623
(570) 869-2988
(570) 869-2891
Mailing address
71 HOSPITAL DRIVE, TOWANDA, PA 18848-9706
(570) 265-6300
(570) 268-2807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100755672
—
PA
05
—
1007556720029
—
PA
Enumeration date
07/16/2008
Last updated
08/03/2011
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