| John P Pettine Md Pc | |
|
1259 S Cedar Crest Blvd Suite 220 Allentown PA 18103-6372 | |
| (610) 821-5700 | |
| Not Available |
| Full Name | John P Pettine Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1259 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | John P Pettine (PRESIDENT) |
| Authorized Official Contact | 6108215700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P Pettine Md Pc 1650 Valley Center Pkwy Suite 100 Bethlehem PA 18017-2344 Ph: (484) 884-4436 | John P Pettine Md Pc 1259 S Cedar Crest Blvd Suite 220 Allentown PA 18103-6372 Ph: (610) 821-5700 |
| NPI Number | 1992726046 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992726046 | NPI | - | NPPES |
| 1329460 | Other | PA | IBC |
| 2633444 | Other | PA | AETNA |
| 1329460 | Other | PA | HIGHMARK BLUE SHIELD |
| 02355000 | Other | PA | CAPITAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD066467L (Pennsylvania) | Primary |
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