Anthony Tavella, PA-C

NPI 1316783459 · on the registry since 2024

Practice

Address: 111 Route 715 Ste 104
Brodheadsville, PA 18322
Phone: (272) 212-0434
Fax: (866) 230-8056
Organisation at this address: St. Luke'S Physician Group, Inc.
St. Luke'S Hospital Monroe Campus
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-07-08

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