Thomas Iacovoni, PA-C

NPI 1225262215 · on the registry since 2009 · sole proprietor

Practice

Address: 603 E Market St
Suite 200 - Cmsu
Danville, PA 17821
Phone: (570) 275-4962
Fax: (570) 275-3098
Organisation at this address: Cmsu Mh/Mr And D&A Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania