Creston M Tate DO

NPI 1043280704 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043280704
Gender Male
Enumeration Date 01/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
555 N DUKE ST
LANCASTER PA, 17604, US
Phone (717) 544-4978
Fax (717) 544-7043
Business Location
PO BOX 3012
WILMINGTON DE, 19804, US
Phone (800) 456-4629
Fax (302) 224-2848
Toxanomy
Taxonomy Code 207P00000X
License State Pennsylvania
License Number 009556L
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According to our database, Creston M Tate DO NPI is 1043280704, taxonomy code is 207P00000X and license number is 009556L, license state is located at Pennsylvania. Creston M Tate DO physically located at 555 N Duke St, Lancaster PA, 17604. NPI Number Creston M Tate DO has the Individual type.

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1043280704 NPI number is provided on an as is basis without warranty of any kind. 1043280704 is maintained by the National Plan & Provider Enumeration System. The contents of Creston M Tate DO are for informational purposes only.