Eastern Pennsylvania Gastroenterology & Liver Specialists P C | |
1501 N Cedar Crest Blvd Ste 110 Allentown PA 18104-2309 | |
(610) 821-2828 | |
(610) 821-7915 |
Full Name | Eastern Pennsylvania Gastroenterology & Liver Specialists P C |
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Speciality | Internal Medicine |
Location | 1501 N Cedar Crest Blvd Ste 110, Allentown, Pennsylvania |
Authorized Official Name and Position | Anthony G Auteri (PHYSICIAN) |
Authorized Official Contact | 6108212828 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastern Pennsylvania Gastroenterology & Liver Specialists P C 1501 N Cedar Crest Blvd Ste 110 Allentown PA 18104-2309 Ph: (610) 821-2828 | Eastern Pennsylvania Gastroenterology & Liver Specialists P C 1501 N Cedar Crest Blvd Ste 110 Allentown PA 18104-2309 Ph: (610) 821-2828 |
NPI Number | 1104874064 |
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Provider Enumeration Date | 05/04/2006 |
Last Update Date | 12/31/2024 |
Medicare PECOS PAC ID | 1456336650 |
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Medicare Enrollment ID | O20040622000735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104874064 | NPI | - | NPPES |
0009936080007 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Glenn M Short |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881693521 PECOS PAC ID: 9739107368 Enrollment ID: I20080812000018 |
Provider Name | Tanveer M Imam |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1942209697 PECOS PAC ID: 7315977709 Enrollment ID: I20080813000635 |
Provider Name | Shashin Shah |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1396944096 PECOS PAC ID: 1153417670 Enrollment ID: I20080821000482 |
Provider Name | Paola G Blanco |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194759852 PECOS PAC ID: 9739227034 Enrollment ID: I20091106000095 |
Provider Name | Susanne N Lane Sandt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891963427 PECOS PAC ID: 0648314237 Enrollment ID: I20100220000033 |
Provider Name | Hiral N Shah |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093862666 PECOS PAC ID: 0840366381 Enrollment ID: I20100602000419 |
Provider Name | Anthony G Auteri |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689678500 PECOS PAC ID: 1153212469 Enrollment ID: I20101018000779 |
Provider Name | Ronald Bross |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1386648202 PECOS PAC ID: 5597865626 Enrollment ID: I20101019000785 |
Provider Name | Anastasia Shnitser |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346443231 PECOS PAC ID: 3375783558 Enrollment ID: I20130711000468 |
Provider Name | Patrick Hickey |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1891052569 PECOS PAC ID: 7416194527 Enrollment ID: I20150515000424 |
Provider Name | Adam L Peyton |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558565598 PECOS PAC ID: 8921194549 Enrollment ID: I20150610000989 |
Provider Name | Jeffrey M Costanzo |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689802746 PECOS PAC ID: 5193036663 Enrollment ID: I20150624002701 |
Provider Name | She-yan Wong |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679806863 PECOS PAC ID: 9436379229 Enrollment ID: I20151016000453 |
Provider Name | Matthew J Sullivan |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306282793 PECOS PAC ID: 3870733728 Enrollment ID: I20160628001296 |
Provider Name | Allison J Baragona |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003259086 PECOS PAC ID: 2567605033 Enrollment ID: I20160718001543 |
Provider Name | Michael Cummings Engels |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598085334 PECOS PAC ID: 2264672310 Enrollment ID: I20170711003286 |
Provider Name | Aaron H Mendelson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1235499898 PECOS PAC ID: 4486918976 Enrollment ID: I20180509001711 |
Provider Name | Travis F Magdaleno |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1649657701 PECOS PAC ID: 7810204740 Enrollment ID: I20180522003034 |
Provider Name | Zachary A Zator |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669793816 PECOS PAC ID: 8527229962 Enrollment ID: I20180614002022 |
Provider Name | Eric Nellis |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1699112359 PECOS PAC ID: 0345531752 Enrollment ID: I20190531001604 |
Provider Name | Bonnie L Patek |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588074355 PECOS PAC ID: 9133345671 Enrollment ID: I20200611000236 |
Provider Name | Amy Javia |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427443654 PECOS PAC ID: 7517285745 Enrollment ID: I20210722000169 |
Provider Name | Anam Malik |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1225485188 PECOS PAC ID: 4082904800 Enrollment ID: I20220607000046 |
Provider Name | Patricia Likem Amedzekor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043943699 PECOS PAC ID: 0547636599 Enrollment ID: I20221017003404 |
Provider Name | Kassandra Blobe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144091885 PECOS PAC ID: 0244677417 Enrollment ID: I20240322003582 |
Provider Name | Parth Desai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447780713 PECOS PAC ID: 5496020786 Enrollment ID: I20240425000043 |
Provider Name | Cristina Grace Angelo |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1972090058 PECOS PAC ID: 6709141278 Enrollment ID: I20240903000160 |