Cedar Park Internal Medicine Llc | |
5 Cedar Park Blvd Easton PA 18042-7108 | |
(106) 141-9226 | |
(610) 759-8532 |
Full Name | Cedar Park Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 5 Cedar Park Blvd, Easton, Pennsylvania |
Authorized Official Name and Position | Linda Styczynski (MANAGER) |
Authorized Official Contact | 6107306527 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cedar Park Internal Medicine Llc Po Box 20347 Lehigh Valley PA 18002-0347 Ph: (610) 730-6527 | Cedar Park Internal Medicine Llc 5 Cedar Park Blvd Easton PA 18042-7108 Ph: (106) 141-9226 |
NPI Number | 1760097893 |
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Provider Enumeration Date | 09/15/2020 |
Last Update Date | 09/28/2020 |
Medicare PECOS PAC ID | 2567881733 |
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Medicare Enrollment ID | O20201007003385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760097893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kaushik Kundu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942259577 PECOS PAC ID: 3375583206 Enrollment ID: I20050510000505 |
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