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Contact Information

NORTHEAST CRITICAL CARE LTD
229 W BROAD STREET
TAMAQUA, PA18252
 Phone: 570-657-1634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for NORTHEAST CRITICAL CARE LTD · (Female)

NPI # 1124767355
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2022
Last updated 04/02/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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