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401 N 17th St Suite 201 Allentown PA 18104-5034 | |
(610) 432-6862 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 401 N 17th St, Allentown, Pennsylvania |
Authorized Official Name and Position | Michael Callahan (ASSOCIATE EXECUTIVE DIRECTOR OF FIN) |
Authorized Official Contact | 6107984500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 Ph: (610) 973-1410 | 401 N 17th St Suite 201 Allentown PA 18104-5034 Ph: (610) 432-6862 |
NPI Number | 1265676852 |
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Provider Enumeration Date | 04/27/2009 |
Last Update Date | 01/05/2011 |
Identifier | Type | State | Issuer |
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1265676852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |