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901 Marcon Blvd Allentown PA 18109-9512 | |
(610) 596-2388 | |
(610) 596-2501 |
Full Name | |
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Speciality | Clinic/center |
Location | 901 Marcon Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: (844) 407-7557 | 901 Marcon Blvd Allentown PA 18109-9512 Ph: (610) 596-2388 |
NPI Number | 1083980114 |
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Provider Enumeration Date | 03/22/2012 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1083980114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |