| Lvpg Pediatric Neurology - 1210 Cedar Crest | |
|
1210 S Cedar Crest Blvd Ste 2400 Allentown PA 18103-6229 | |
| (484) 884-3333 | |
| (484) 884-3366 |
| Full Name | Lvpg Pediatric Neurology - 1210 Cedar Crest |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1210 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | James Demopoulos (VP) |
| Authorized Official Contact | 4848623333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvpg Pediatric Neurology - 1210 Cedar Crest Po Box 783311 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | Lvpg Pediatric Neurology - 1210 Cedar Crest 1210 S Cedar Crest Blvd Ste 2400 Allentown PA 18103-6229 Ph: (484) 884-3333 |
| NPI Number | 1447324348 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447324348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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