| Azani Medical Spa | |
|
3101 Emrick Blvd Suite #201 Bethlehem PA 18020-8037 | |
| (610) 625-3000 | |
| (610) 625-3003 |
| Full Name | Azani Medical Spa |
|---|---|
| Speciality | General Practice |
| Location | 3101 Emrick Blvd, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Monica Cecilia Gavin (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 6105300151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azani Medical Spa 3067 Jordan Rd Orefield PA 18069-2261 Ph: (610) 625-3000 | Azani Medical Spa 3101 Emrick Blvd Suite #201 Bethlehem PA 18020-8037 Ph: (610) 625-3000 |
| NPI Number | 1609898584 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 05/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609898584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD061743L (Pennsylvania) | Primary |
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