Organization
CMS MEDICAL CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE PURCELL (VP/HUMAN RESOURCES)
(610) 377-7088
Entity
Organization
Contact information
Practice address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(610) 377-7008
(310) 377-7920
Mailing address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(610) 377-7008
(310) 377-7920
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
968294
HIGHMARK BS
—
01
—
CN4455
TRAVELERS MEDICARE
PA
Enumeration date
11/03/2006
Last updated
05/24/2011
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