Organization
PA RTE 120 INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W. TAYLOR (EXECUTIVE VICE PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
1001 PINE ST, RENOVO, PA 17764-1618
(570) 923-1000
(570) 923-1189
Mailing address
PO BOX 37928, PHILADELPHIA, PA 19101-0528
(800) 355-0808
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
07/23/2013
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