| Easton Family Practice P.c | |
|
1901 Hay Ter Suite# 5 Easton PA 18042-4650 | |
| (610) 438-4314 | |
| (610) 438-4315 |
| Full Name | Easton Family Practice P.c |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Hay Ter, Easton, Pennsylvania |
| Authorized Official Name and Position | Khaldoun Makhoul (OWNER) |
| Authorized Official Contact | 6104384314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easton Family Practice P.c 1901 Hay Ter Suite# 5 Easton PA 18042-4650 Ph: (610) 438-4314 | Easton Family Practice P.c 1901 Hay Ter Suite# 5 Easton PA 18042-4650 Ph: (610) 438-4314 |
| NPI Number | 1437119294 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6305879057 |
|---|---|
| Medicare Enrollment ID | O20050914000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437119294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD421552 (Pennsylvania) | Primary |
| Provider Name | Khaldoun Makhoul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659468981 PECOS PAC ID: 3476453366 Enrollment ID: I20040108000968 |
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