Tabor, Richard J

Tabor, Richard J is an individual health care provider with primary practice located at 206 E Brown St , East Stroudsburg PA 18301-3006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tabor, Richard J can be contacted via phone (570) 476-3353.

Contact Information

Primary practice address
206 E Brown St East Stroudsburg PA 18301-3006
Fax: (570) 420-2528
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD062513L Pennsylvania

Profile Details

NPI number 1730138660
LBN Legal business name Tabor, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Mar 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730138660 NPPES
Pennsylvania MEDICAID 0016974180001
Pennsylvania Other TA975621

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