| David R. Tomazic, D.o., Llc | |
|
632 Main St Forest City PA 18421-1483 | |
| (570) 785-5599 | |
| (570) 785-3552 |
| Full Name | David R. Tomazic, D.o., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 632 Main St, Forest City, Pennsylvania |
| Authorized Official Name and Position | David R. Tomazic (PRESIDENT) |
| Authorized Official Contact | 5707855599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Tomazic, D.o., Llc 632 Main St Forest City PA 18421-1483 Ph: (570) 785-5599 | David R. Tomazic, D.o., Llc 632 Main St Forest City PA 18421-1483 Ph: (570) 785-5599 |
| NPI Number | 1811160237 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 11/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811160237 | NPI | - | NPPES |
| 102107900001 | Medicaid | PA | |
| 040568 | Other | PA | PA BLUE SHIELD |
| 080001919 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS004178L (Pennsylvania) | Primary |
Mcandrew Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Dundaff St, Forest City, PA 18421 Phone: 570-785-3194 |