Healthcare Provider Details

I. General information

NPI: 1235374927
Provider Name (Legal Business Name): EMERGENCY CARE SERVICES OF PENNSYLVANIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 N RIVER ST
WILKES BARRE PA
18764-0999
US

IV. Provider business mailing address

307 S EVERGREEN AVE
WOODBURY NJ
08096-2739
US

V. Phone/Fax

Practice location:
  • Phone: 570-552-1000
  • Fax:
Mailing address:
  • Phone: 856-686-4317
  • Fax: 856-848-8536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES J. FLOWERS
Title or Position: PRESIDENT
Credential: DO
Phone: 856-686-4317