THOMAS JAMES IACOVONI PA-C NPI 1225262215

NPI Information

Thomas James Iacovoni, PA-C is a medical physician assistant in Danville, PA. Thomas James Iacovoni, PA-C NPI is 1225262215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

603 E MARKET ST
SUITE 200 - CMSU
DANVILLE, PA
ZIP 17821-161
Phone: (570) 275-4962
Fax: (570) 275-3098

The NPI 1225262215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 8/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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