| Allentown Medical Clinic Inc | |
|
221 N Cedar Crest Blvd Allentown PA 18104-4603 | |
| (610) 457-5090 | |
| Not Available |
| Full Name | Allentown Medical Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 N Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Samer Shamsi Basha (PRESIDENT) |
| Authorized Official Contact | 6104575090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allentown Medical Clinic Inc Po Box 727 Whitehall PA 18052-0727 Ph: () - | Allentown Medical Clinic Inc 221 N Cedar Crest Blvd Allentown PA 18104-4603 Ph: (610) 457-5090 |
| NPI Number | 1033561972 |
|---|---|
| Provider Enumeration Date | 07/03/2016 |
| Last Update Date | 07/07/2016 |
| Medicare PECOS PAC ID | 5395024087 |
|---|---|
| Medicare Enrollment ID | O20161121002011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033561972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD417375 (Pennsylvania) | Primary |
| Provider Name | Samer S Basha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548327802 PECOS PAC ID: 0345141925 Enrollment ID: I20040116000335 |
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