Sayre Office | |
330 N. Keystone Ave. Sayre PA 18840 | |
(570) 888-6167 | |
(570) 888-6167 |
Full Name | Sayre Office |
---|---|
Speciality | Family Medicine |
Location | 330 N. Keystone Ave., Sayre, Pennsylvania |
Authorized Official Name and Position | Lawrence Tama (PRESIDENT/OWNER) |
Authorized Official Contact | 5702656300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sayre Office 71 Hospital Drive Towanda PA 18848-9706 Ph: (570) 265-6300 | Sayre Office 330 N. Keystone Ave. Sayre PA 18840 Ph: (570) 888-6167 |
NPI Number | 1942464425 |
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Provider Enumeration Date | 07/15/2008 |
Last Update Date | 08/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942464425 | NPI | - | NPPES |
100755672 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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