| Dwh Medical Center, P.c | |
|
1707-1709 W Hamilton Street Allentown PA 18104-5607 | |
| (610) 419-3388 | |
| (610) 419-3266 |
| Full Name | Dwh Medical Center, P.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 1707-1709 W Hamilton Street, Allentown, Pennsylvania |
| Authorized Official Name and Position | Danny William Hernandez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6104193388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwh Medical Center, P.c 1707-1709 W Hamilton Street Allentown PA 18104-5607 Ph: (610) 419-3388 | Dwh Medical Center, P.c 1707-1709 W Hamilton Street Allentown PA 18104-5607 Ph: (610) 419-3388 |
| NPI Number | 1922373687 |
|---|---|
| Provider Enumeration Date | 03/14/2012 |
| Last Update Date | 02/27/2019 |
| Medicare PECOS PAC ID | 4981959665 |
|---|---|
| Medicare Enrollment ID | O20180620003143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922373687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD419601 (Pennsylvania) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Danny W Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316920390 PECOS PAC ID: 9739155961 Enrollment ID: I20040908001274 |
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