| Thomas J Craparo | |
|
10 Dundaff St Carbondale PA 18407-1869 | |
| (570) 282-1404 | |
| (570) 282-1904 |
| Full Name | Thomas J Craparo |
|---|---|
| Speciality | General Practice |
| Location | 10 Dundaff St, Carbondale, Pennsylvania |
| Authorized Official Name and Position | Ann Rupp (OFFICE MANAGER) |
| Authorized Official Contact | 5702821404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Craparo 10 Dundaff St Carbondale PA 18407-1869 Ph: (570) 282-1404 | Thomas J Craparo 10 Dundaff St Carbondale PA 18407-1869 Ph: (570) 282-1404 |
| NPI Number | 1902056013 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902056013 | NPI | - | NPPES |
| 0006014030001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD021027E (Pennsylvania) | Primary |
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