| Northeast Critical Care Ltd | |
|
229 W Broad St Tamaqua PA 18252-1818 | |
| (570) 657-1634 | |
| (570) 645-3397 |
| Full Name | Northeast Critical Care Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 229 W Broad St, Tamaqua, Pennsylvania |
| Authorized Official Name and Position | David B Kasprzak (CEO) |
| Authorized Official Contact | 5706571634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Critical Care Ltd 10 W White Bear Dr Summit Hill PA 18250-1728 Ph: (570) 657-1634 | Northeast Critical Care Ltd 229 W Broad St Tamaqua PA 18252-1818 Ph: (570) 657-1634 |
| NPI Number | 1992442255 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Medicare PECOS PAC ID | 5294115671 |
|---|---|
| Medicare Enrollment ID | O20220701000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992442255 | NPI | - | NPPES |
| Provider Name | David B Kasprzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043654197 PECOS PAC ID: 6103206586 Enrollment ID: I20220713003517 |
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