| Soli F Tavaria Md Pc | |
|
105 N Delaware Ave Minersville PA 17954-1726 | |
| (570) 544-6424 | |
| (570) 544-2734 |
| Full Name | Soli F Tavaria Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 N Delaware Ave, Minersville, Pennsylvania |
| Authorized Official Name and Position | Soli F Tavaria (PRESIDENT) |
| Authorized Official Contact | 5705446424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soli F Tavaria Md Pc 105 N Delaware Ave Minersville PA 17954-1726 Ph: (570) 544-6424 | Soli F Tavaria Md Pc 105 N Delaware Ave Minersville PA 17954-1726 Ph: (570) 544-6424 |
| NPI Number | 1780663427 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 11/23/2009 |
| Medicare PECOS PAC ID | 9931183365 |
|---|---|
| Medicare Enrollment ID | O20040615000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780663427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Soli F Tavaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649258690 PECOS PAC ID: 8022093608 Enrollment ID: I20101214000175 |
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