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Organization
NORTHEAST PHYSICIAN HOUSECALLS, INC.
Active
Organization
NORTHEAST PHYSICIAN HOUSECALLS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT P MORAN M.D. (PRESIDENT)
(570) 840-7056
Entity
Organization
Contact information
Practice address
52 DUNDAFF ST, CARBONDALE, PA 18407-1879
(570) 650-7282
Mailing address
200 WOODLANDS EDGE DR, OLYPHANT, PA 18447-9793
(570) 650-7282
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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