| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/28/2020 |
| Medicare PECOS PAC ID | 2567881733 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942259577 PECOS PAC ID: 3375583206 Enrollment ID: I20050510000505 |
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