Organization
GARDNER STREET EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B. MOROSCO D.O. (PRESIDENT/GENERAL PARTNER)
(800) 732-1066
Entity
Organization
Contact information
Practice address
1451 N. GARDNER STREET, SCOTTSBURG, IN 47170
(812) 752-3456
(812) 752-8576
Mailing address
PO BOX 37721, PHILADELPHIA, PA 19101-3607
(800) 732-1066
(630) 916-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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