Organization
NORTH SCHUYLKILL EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS RONAN (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
101 BROAD ST, EMERGENCY DEPARTMENT, ASHLAND, PA 17921-2147
(469) 401-2386
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019693110001
—
PA
01
—
1511241
BLUE SHIELD
PA
01
—
50024532
BLUE CROSS
PA
Enumeration date
06/24/2006
Last updated
05/29/2015
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