Allentown Associates In Psychiatry | |
401 N 17th St Suite 304 Allentown PA 18104-5014 | |
(610) 820-3900 | |
(610) 820-3835 |
Full Name | Allentown Associates In Psychiatry |
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Speciality | Psychiatry & Neurology |
Location | 401 N 17th St, Allentown, Pennsylvania |
Authorized Official Name and Position | Paul K Gross (PROPRIETOR) |
Authorized Official Contact | 6108203900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allentown Associates In Psychiatry 401 N 17th St Suite 304 Allentown PA 18104-5014 Ph: (610) 820-3900 | Allentown Associates In Psychiatry 401 N 17th St Suite 304 Allentown PA 18104-5014 Ph: (610) 820-3900 |
NPI Number | 1528163938 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0244226421 |
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Medicare Enrollment ID | O20040422001232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528163938 | NPI | - | NPPES |
0018813750005 | Medicaid | PA | |
511482 | Other | PA | HIGHMARK BLUE SHIELD |
02345500 | Other | PA | CAPITAL BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Paul K Gross |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598871097 PECOS PAC ID: 8123082955 Enrollment ID: I20050316000220 |
Provider Name | Gregory K Palmer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154437663 PECOS PAC ID: 5395924674 Enrollment ID: I20110119001215 |
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