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17th & Chew St Suite 403 Allentown PA 18102-3698 | |
(610) 969-3600 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 17th & Chew St, Allentown, Pennsylvania |
Authorized Official Name and Position | John Berzinsky (SR VP) |
Authorized Official Contact | 4848844500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 78331 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | 17th & Chew St Suite 403 Allentown PA 18102-3698 Ph: (610) 969-3600 |
NPI Number | 1679795165 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/20/2015 |
Identifier | Type | State | Issuer |
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1679795165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |