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3440 Lehigh St Ste 102 Allentown PA 18103-7001 | |
(484) 822-5900 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 3440 Lehigh St Ste 102, Allentown, Pennsylvania |
Authorized Official Name and Position | Sue Chiavaroli (CVO SUPERVISOR) |
Authorized Official Contact | 4845263569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-6048 | 3440 Lehigh St Ste 102 Allentown PA 18103-7001 Ph: (484) 822-5900 |
NPI Number | 1851337364 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 04/26/2021 |
Identifier | Type | State | Issuer |
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1851337364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |