| |
100 N 3rd St 2nd Floor Easton PA 18042-1869 | |
(484) 503-8010 | |
(484) 503-8009 |
Full Name | |
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Speciality | Internal Medicine - Infectious Disease |
Location | 100 N 3rd St, Easton, Pennsylvania |
Authorized Official Name and Position | Thomas P. Lichtenwalner (SR VP FINANCES) |
Authorized Official Contact | 4845263301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 N 3rd St 2nd Floor Easton PA 18042-1869 Ph: (484) 503-8010 | 100 N 3rd St 2nd Floor Easton PA 18042-1869 Ph: (484) 503-8010 |
NPI Number | 1700278157 |
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Provider Enumeration Date | 02/23/2015 |
Last Update Date | 11/13/2015 |
Identifier | Type | State | Issuer |
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1700278157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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