| |
124 N 14th St Easton PA 18042-3218 | |
(610) 258-9091 | |
(610) 258-2992 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 124 N 14th St, Easton, Pennsylvania |
Authorized Official Name and Position | Paula Raso (PRACTICE MANAGER) |
Authorized Official Contact | 6102589091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
124 N 14th St Easton PA 18042-3218 Ph: (610) 258-9091 | 124 N 14th St Easton PA 18042-3218 Ph: (610) 258-9091 |
NPI Number | 1215036058 |
---|---|
Provider Enumeration Date | 09/21/2006 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215036058 | NPI | - | NPPES |
2321000 | Other | PA | CAPITAL BLUE CROSS |
1412509 | Other | PA | HIGHMARK BLUE SHIELD |
DH1635 | Other | PA | RAILROAD MEDICARE |
511930 | Other | PA | AETNA U.S. HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2403 Butler St, Easton, PA 18042 Phone: 484-822-5405 | |
St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 Northampton St, Easton, PA 18042 Phone: 484-526-6048 Fax: 833-213-6428 | |
Defranco Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Ferry St, Easton, PA 18042 Phone: 610-597-2390 | |
Valley Health Partners Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 W. Lincoln St., Easton, PA 18042 Phone: 484-224-0845 Fax: 484-224-0846 |