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1503 N Cedar Crest Blvd Allentown PA 18104-2302 | |
(610) 861-8080 | |
(610) 821-1129 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1503 N Cedar Crest Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Amy Nyberg (PRESIDENT & COO) |
Authorized Official Contact | 6108618080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2775 Schoenersville Rd Bethlehem PA 18017-7307 Ph: (610) 861-8080 | 1503 N Cedar Crest Blvd Allentown PA 18104-2302 Ph: (610) 861-8080 |
NPI Number | 1942588314 |
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Provider Enumeration Date | 08/02/2011 |
Last Update Date | 01/23/2020 |
Identifier | Type | State | Issuer |
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1942588314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | (Pennsylvania) | Primary |