# NORTHEAST CRITICAL CARE LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST CRITICAL CARE LTD
- **Other names:** Valley Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124767355
- **Legal business name:** NORTHEAST CRITICAL CARE LTD
- **Authorized official:** MR. DAVID B KASPRZAK MSN FNP-BC (CEO)
- **Authorized official phone:** (570) 657-1634

## Contact information

- **Practice address:** 229 W BROAD STREET, TAMAQUA, PA 18252
- **Practice address phone:** (570) 657-1634
- **Mailing address:** 229 W BROAD STREET, TAMAQUA, PA 18252
- **Mailing address phone:** (570) 657-1634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2022
- **Last updated:** 04/02/2024