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1255 S Cedar Crest Blvd Suite 2200 Allentown PA 18103-6256 | |
(610) 740-5547 | |
(610) 820-8172 |
Full Name | |
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Speciality | Family Medicine |
Location | 1255 S Cedar Crest Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Michael Callahan (ASSOCIATE EXECUTIVE DIRECTOR OF FIN) |
Authorized Official Contact | 6107984500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 Ph: (610) 973-1410 | 1255 S Cedar Crest Blvd Suite 2200 Allentown PA 18103-6256 Ph: (610) 740-5547 |
NPI Number | 1295979987 |
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Provider Enumeration Date | 04/24/2009 |
Last Update Date | 10/19/2010 |
Identifier | Type | State | Issuer |
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1295979987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |