Organization
EASTON PULMONARY & CRITICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEEVE T THACHIL MD (PHYSICIAN/OWNER)
(610) 250-4595
Entity
Organization
Contact information
Practice address
2025 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 250-4595
Mailing address
20 CREST BLVD, EASTON, PA 18045-3135
(610) 253-4114
(610) 253-4114
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
06/21/2018
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