Emaus Avenue Family Practice | |
1101 W Emaus Ave Allentown PA 18103-6676 | |
(610) 797-2000 | |
(610) 791-5814 |
Full Name | Emaus Avenue Family Practice |
---|---|
Speciality | Family Medicine |
Location | 1101 W Emaus Ave, Allentown, Pennsylvania |
Authorized Official Name and Position | Ruth E Frye (PHYSICIAN PARTNER) |
Authorized Official Contact | 6107972000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emaus Avenue Family Practice 1101 W Emaus Ave Allentown PA 18103-6676 Ph: (610) 797-2000 | Emaus Avenue Family Practice 1101 W Emaus Ave Allentown PA 18103-6676 Ph: (610) 797-2000 |
NPI Number | 1952394918 |
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Provider Enumeration Date | 08/25/2005 |
Last Update Date | 06/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952394918 | NPI | - | NPPES |
010034098 | Other | PA | RAILROAD MEDICARE |
02278100 | Other | PA | CAPITOL BLUE CROSS |
4060281 | Other | PA | EPHN |
404523 | Other | PA | HIGHMARK BLUE SHIELD |
0097839001 | Other | PA | KEYSTONE EAST |
19455 | Other | PA | AETNA US HEALTHCARE |
204920 | Other | PA | HEALTH AMERICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | QW15076 (Pennsylvania) | Primary |