Organization
CARBONITE EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENNA BEHM (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
101 BROAD ST, ASHLAND, PA 17921-2147
(469) 401-2386
Mailing address
PO BOX 80093, PHILADELPHIA, PA 19101-1093
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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