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 |
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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 |
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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 |
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Provider Enumeration Date | 05/06/2014 |
Last Update Date | 08/14/2019 |
Medicare PECOS PAC ID | 0547486144 |
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Medicare Enrollment ID | O20140716001553 |
Identifier | Type | State | Issuer |
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1194135640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RN0300X | Internal Medicine - Nephrology | MD439884 (Pennsylvania) | Secondary |
Provider Name | Maria C Erazo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528145620 PECOS PAC ID: 0840215695 Enrollment ID: I20120312000295 |
Provider Name | Florence Ann Norelli |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1972621936 PECOS PAC ID: 4587028923 Enrollment ID: I20230918003882 |