Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 512 Bank St, Bowmanstown, Pennsylvania |
Authorized Official Name and Position | Sue Chiavaroli (SUPERVISOR - ENROLLMENT) |
Authorized Official Contact | 4845263569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 Ostrum St Bethlehem PA 18015-1000 Ph: () - | 512 Bank St Bowmanstown PA 18030 Ph: (484) 526-4000 |
NPI Number | 1376107235 |
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Provider Enumeration Date | 04/26/2019 |
Last Update Date | 07/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376107235 | NPI | - | NPPES |