MEDICARE: DR. EUGENE A TURCHETTI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD037555L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922093749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE A TURCHETTI MD

Provider Business Mailing Address
First Line	:	1416 MONROE AVE
Second Line	:
City	:	DUNMORE
State	:	PA
Zip	:	18509-2477
Country	:	US
Telephone Number	:	570-344-5665
Fax Number	:	570-344-5370

Provider Business Practice Location Address
First Line	:	1416 MONROE AVE
Second Line	:
City	:	DUNMORE
State	:	PA
Zip	:	18509-2477
Country	:	US
Telephone Number	:	570-344-5665
Fax Number	:	570-344-5370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	02/10/2012

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