Healthcare Provider Details

I. General information

NPI: 1477648863
Provider Name (Legal Business Name): HOUSER NEWMAN ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 MEDICAL CROSSING ROAD
TAMAQUA PA
18252
US

IV. Provider business mailing address

37 MEDICAL CROSSING ROAD
TAMAQUA PA
18252
US

V. Phone/Fax

Practice location:
  • Phone: 570-386-5926
  • Fax: 570-386-2959
Mailing address:
  • Phone: 570-386-5926
  • Fax: 570-386-2959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LEE EASTERDAY
Title or Position: PRACTICE MANAGER
Credential: BSN, RN
Phone: 570-386-5926