| Hanover Family Medical Group | |
|
1210 Hanover Ave Allentown PA 18109-2017 | |
| (610) 437-6490 | |
| (610) 437-4151 |
| Full Name | Hanover Family Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1210 Hanover Ave, Allentown, Pennsylvania |
| Authorized Official Name and Position | Stephen A Lanshe (VP LEGAL AFFAIRS) |
| Authorized Official Contact | 6107765141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Family Medical Group 421 W Chew St Physician Accounts Allentown PA 18102-3406 Ph: (610) 776-5100 | Hanover Family Medical Group 1210 Hanover Ave Allentown PA 18109-2017 Ph: (610) 437-6490 |
| NPI Number | 1326008228 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326008228 | NPI | - | NPPES |
| 1519695 | Other | GATEWAY ASSURED | |
| 564229 | Other | PA | HIGHMARK BLS GROUP # |
| 0006472 | Other | AETNA HMO | |
| 0218423001 | Other | IBC | |
| 02400200 | Other | PA | CBC GROUP # |
| 5844495 | Other | AETNA PPO | |
| 47661 | Other | AMERIHEALTH MERCY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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