| Frontline Medical & Kidney Care, Llc | |
|
451 Chew St Ste 407 Allentown PA 18102-3424 | |
| (610) 973-3391 | |
| (610) 973-3395 |
| Full Name | Frontline Medical & Kidney Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 451 Chew St Ste 407, Allentown, Pennsylvania |
| Authorized Official Name and Position | Maria C Erazo (PHYSICIAN, CEO) |
| Authorized Official Contact | 6109733391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontline Medical & Kidney Care, Llc 451 Chew St Ste 407 Allentown PA 18102-3424 Ph: (610) 973-3391 | Frontline Medical & Kidney Care, Llc 451 Chew St Ste 407 Allentown PA 18102-3424 Ph: (610) 973-3391 |
| NPI Number | 1194135640 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 0547486144 |
|---|---|
| Medicare Enrollment ID | O20140716001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194135640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | MD439884 (Pennsylvania) | Secondary |
| Provider Name | Maria C Erazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528145620 PECOS PAC ID: 0840215695 Enrollment ID: I20120312000295 |
| Provider Name | Florence Ann Norelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972621936 PECOS PAC ID: 4587028923 Enrollment ID: I20230918003882 |
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