Individual
MS. THERESA ANNE TARQUINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 NORTHWAY RD, WILLIAMSPORT, PA 17701-3813
(570) 322-1637
(570) 322-1638
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003297L
PA
Other
Enumeration date
05/26/2006
Last updated
10/21/2011
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