Provider Demographics
NPI:1023206695
Name:PENNSYLVANIA COLLEGE OF TECHNOLOGY
Entity Type:Organization
Organization Name:PENNSYLVANIA COLLEGE OF TECHNOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FOR BUSINESS AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-320-2400
Mailing Address - Street 1:1 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-5778
Mailing Address - Country:US
Mailing Address - Phone:570-327-4500
Mailing Address - Fax:570-320-2401
Practice Address - Street 1:1 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-5778
Practice Address - Country:US
Practice Address - Phone:570-327-4500
Practice Address - Fax:570-320-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)