| Jonathan Warren Md Pc | |
|
77 N 2nd St Easton PA 18042-3636 | |
| (610) 253-2256 | |
| (610) 253-6547 |
| Full Name | Jonathan Warren Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 77 N 2nd St, Easton, Pennsylvania |
| Authorized Official Name and Position | Jonathan Warren (OWNER) |
| Authorized Official Contact | 6102532256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Warren Md Pc 77 N 2nd St Easton PA 18042-3636 Ph: (610) 253-2256 | Jonathan Warren Md Pc 77 N 2nd St Easton PA 18042-3636 Ph: (610) 253-2256 |
| NPI Number | 1255497095 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255497095 | NPI | - | NPPES |
| 9905019 | Other | PA | HORIZON BC BS |
| 02568600 | Other | PA | CAPITAL BLUE CROSS |
| 120107 | Other | PA | HIGHMARK BLUE SHIELD |
| 3542602 | Medicaid | NJ | |
| 0006143590002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD012069E (Pennsylvania) | Primary |
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