Provider Demographics
NPI:1639403611
Name:PRIMARY CARE MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:PRIMARY CARE MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-344-5665
Mailing Address - Street 1:1416 MONROE AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18509
Mailing Address - Country:US
Mailing Address - Phone:570-344-5665
Mailing Address - Fax:570-344-5370
Practice Address - Street 1:1416 MONROE AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509
Practice Address - Country:US
Practice Address - Phone:570-344-5665
Practice Address - Fax:570-344-5370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
110118139OtherRAILROAD MEDICARE