Healthcare Provider Details
I. General information
NPI: 1710936398
Provider Name (Legal Business Name): CONTEE EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7300 VAN DUSEN RD
LAUREL MD
20707-9266
US
IV. Provider business mailing address
232 LAKESIDE DR
HORSHAM PA
19044-2319
US
V. Phone/Fax
- Phone: 301-725-4300
- Fax:
- Phone: 800-247-8060
- Fax: 215-957-2875
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
MYERS
Title or Position: PRESIDENT/GENERAL PARTNER
Credential: MD
Phone: 800-247-8060