| Ahi Skin Rejuvenation Center | |
|
415 Business Park Ln Allentown PA 18109-9120 | |
| (267) 319-1530 | |
| (267) 319-1531 |
| Full Name | Ahi Skin Rejuvenation Center |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 415 Business Park Ln, Allentown, Pennsylvania |
| Authorized Official Name and Position | Patrick Robert Stonich (DIRECTOR OF NURSING) |
| Authorized Official Contact | 2673191530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahi Skin Rejuvenation Center 1233 Locust Street Suite 304 Philadelphia PA 19107 Ph: (267) 319-1530 | Ahi Skin Rejuvenation Center 415 Business Park Ln Allentown PA 18109-9120 Ph: (267) 319-1530 |
| NPI Number | 1841475225 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 08/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841475225 | NPI | - | NPPES |
| 1021141200001 | Medicaid | PA | |
| 1083814933 | Other | PA | NPI ERIC |
| 1021144150001 | Medicaid | PA | |
| 1022406620001 | Medicaid | PA | |
| 1021082020001 | Medicaid | PA | |
| 1018007450002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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