Dr Liborio Larussa, MD | |
1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | |
(610) 402-7632 | |
Not Available |
Full Name | Dr Liborio Larussa |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1200 S Cedar Crest Blvd, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568452233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA07888000 (New Jersey) | Secondary |
208000000X | Pediatrics | MD424573 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
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Dr Liborio Larussa, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Dr Liborio Larussa, MD 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-7632 |
Dr. Ruchi Gupta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N 17th St, Suite 309, Allentown, PA 18104 Phone: 610-437-6687 | |
Dr. Douglas Mchale, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-7712 Fax: 224-484-1306 | |
Dr. Sajani Jitendra Sukhadia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1611 Pond Rd Ste 400, Allentown, PA 18104 Phone: 610-402-8000 | |
Dr. Heather Noreen Becker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-9750 | |
Sara S Viessman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1627 W Chew St, Suite 601, Allentown, PA 18102 Phone: 610-969-2555 | |
Paige Payne, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Chew St Ste 203, Allentown, PA 18102 Phone: 484-503-3058 | |
Lexis Tiana Torres, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Chew St Ste 203, Allentown, PA 18102 Phone: 484-822-7850 |