Individual
THOMAS JAMES IACOVONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
603 E MARKET ST, SUITE 200 - CMSU, DANVILLE, PA 17821-2161
(570) 275-4962
(570) 275-3098
Mailing address
603 E MARKET ST, SUITE 200 - CMSU, DANVILLE, PA 17821-2161
(570) 275-4962
(570) 275-3098
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053730
PA
Other
Enumeration date
05/06/2009
Last updated
08/11/2016
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