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Individual

DR. JAMES ANDREW TRICARICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
499 WYOMING AVE STE 105, KINGSTON, PA 18704-3602
(570) 714-3050
(570) 714-3055
Mailing address
457 NORTH MAIN ST, STE 105, PITTSTON, PA 18640-2185
(570) 883-9444
(570) 883-9333

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010594L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001863297001
PA
01
002573
UNITED HEALTHCARE
PA
01
002627
FIRST PRIORITY HEALTH
PA
01
010122600
FEDERAL BLACK LUNG
PA
01
047917
MEDICARE-MLRM
PA
01
080176555
RAILROAD MEDICARE
PA
01
1307341
FIRST PRIORITY LIFE
PA
01
2000683000
PA BS PERSONAL CHOICE
PA
01
249865
PHS
PA
01
60253
GEISINGER CAPITATION
PA
01
60253 E180
GEISINGER HEALTH
PA
Enumeration date
04/01/2006
Last updated
08/12/2020
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