Your Neighborhood Doc Pc

NPI 1336335090 - Clinic/Center - 261QP2300X

NPI Details
NPI 1336335090
Enumeration Date 09/17/2007
Last Updated 11/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EMMANUEL FERMIN EMMANUEL
Position OWNER
Phone (814) 837-9841
Fax (814) 837-6494
Practice Location
38 THOMPSON PARK
KANE PA, 16735-0399, US
Phone (814) 837-9841
Fax (814) 837-6494
Business Location
P O BOX 399
38 THOMPSON PARK
KANE PA, 16735-0399, US
Phone (814) 837-9841
Fax (814) 837-6494
Toxanomy
Taxonomy Code 261QP2300X
License State Pennsylvania
License Number MD037007L
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According to our database, Your Neighborhood Doc Pc NPI is 1336335090, taxonomy code is 261QP2300X and license number is MD037007L, license state is located at Pennsylvania. Your Neighborhood Doc Pc physically located at 38 Thompson Park, Kane PA, 16735-0399. NPI Number 1033115704 has the healthcare provider type.

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1336335090 NPI number is provided on an as is basis without warranty of any kind. 1336335090 is maintained by the National Plan & Provider Enumeration System. The contents of Your Neighborhood Doc Pc are for informational purposes only.