Anthony Tavella, PA-C

NPI #1316783459 in Brodheadsville, Pennsylvania

Provider Information

NPI Number: 1316783459
Entity Type: Individual
Name: Anthony Tavella, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 8, 2024
Last Updated: Jul 8, 2024

Practice Location

Address: 111 ROUTE 715 STE 104
City: Brodheadsville
State: Pennsylvania
ZIP Code: 18322-7101
Phone: (272) 212-0434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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