| Sacred Heart Medical Associates - Neurology | |
|
450 W Chew St Sigal Center Suite 204 Shma Neurology Allentown PA 18102-3434 | |
| (610) 776-5491 | |
| (610) 606-4432 |
| Full Name | Sacred Heart Medical Associates - Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 450 W Chew St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Stephen A Lanshe (VP LEGAL AFFAIRS) |
| Authorized Official Contact | 6107765141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Medical Associates - Neurology 421 W Chew St Physician Accounts Allentown PA 18102-3406 Ph: (610) 776-5100 | Sacred Heart Medical Associates - Neurology 450 W Chew St Sigal Center Suite 204 Shma Neurology Allentown PA 18102-3434 Ph: (610) 776-5491 |
| NPI Number | 1689636094 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689636094 | NPI | - | NPPES |
| 0679828000 | Other | IBC | |
| 50047325 | Other | PA | CBC GROUP NUMBER |
| 0459718 | Other | AETNA HMO | |
| 1531299 | Other | GATEWAY HEALTH PLAN | |
| 1948543 | Other | HIGHMARK BLUE SHIELD | |
| 5212022 | Other | AETNA PPO | |
| 20021227 | Other | AMERIHEALTH MERCY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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