North East Family Practice
NPI #1003064924 in North East, Pennsylvania
Provider Information
- NPI Number
- 1003064924
- Entity Type
- Organization
- Organization Name
- North East Family Practice
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 4, 2008
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 115 E MAIN ST
- City
- North East
- State
- Pennsylvania
- ZIP Code
- 16428-1330
- Phone
- (814) 725-8774
Authorized Official
- Name
- KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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