Organization
ALAN JAMES TOMCZAK
Active
Other names
Custom Contracting
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN JAMES TOMCZAK (OWNER)
(814) 796-6543
Entity
Organization
Contact information
Practice address
11290 LAKE PLEASANT RD, UNION CITY, PA 16438-8706
(814) 796-6543
Mailing address
11290 LAKE PLEASANT RD, UNION CITY, PA 16438-8706
(814) 796-6543
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010723010001
PROVIDER ID
PA
Enumeration date
03/15/2007
Last updated
08/22/2020
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