Healthcare Provider Details

I. General information

NPI: 1891724662
Provider Name (Legal Business Name): BESTPRACTICES OF PENNSYLVANIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 06/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 RURAL AVE EMERGENCY DEPARTMENT
WILLIAMSPORT PA
17701-3109
US

IV. Provider business mailing address

PO BOX 759018
BALTIMORE MD
21275-0001
US

V. Phone/Fax

Practice location:
  • Phone: 570-321-1000
  • Fax: 904-346-0113
Mailing address:
  • Phone: 570-321-0307
  • Fax: 904-346-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOM MAYER
Title or Position: PRESIDENT
Credential: MD
Phone: 703-205-9790