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Team Care PC

Emergency Medicine in Towanda, PA. Organization (NPI-2).

NPI number1710092549
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1710092549
Entity type
Organization (NPI-2)
Legal business name
Team Care PC
Organization subpart
No
Enumeration date
Aug 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

1 Hospital Dr
Towanda, PA 18848-9710

Phone 570-265-2191 · Fax 570-268-2244

Mailing address

2031 Orange Hill Rd
Athens, PA 18810-9302

Phone 570-888-4299

Authorized official

Martin L. Mikaya
President
5702652191

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