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501 N 17th St St 108 Allentown PA 18104-5044 | |
(610) 494-4760 | |
(610) 820-9122 |
Full Name | |
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Speciality | Family Medicine |
Location | 501 N 17th St, Allentown, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 6109544991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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623 E Broad St 2nd Flr Bethlehem PA 18018-6332 Ph: (610) 954-6048 | 501 N 17th St St 108 Allentown PA 18104-5044 Ph: (610) 494-4760 |
NPI Number | 1982754198 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 04/16/2010 |
Identifier | Type | State | Issuer |
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1982754198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Pennsylvania) | Primary |