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Organization
NORTHEAST CRITICAL CARE LTD
Active
Organization
NORTHEAST CRITICAL CARE LTD
Active
Parent organization
NORTHEAST CRITICAL CARE LTD
Other names
Valley Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST CRITICAL CARE LTD
Authorized official
MR. DAVID B KASPRZAK MSN FNP-BC (CEO)
(570) 657-1634
Entity
Organization
Contact information
Practice address
229 W BROAD STREET, TAMAQUA, PA 18252
(570) 657-1634
Mailing address
229 W BROAD STREET, TAMAQUA, PA 18252
(570) 657-1634
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
04/02/2024
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