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2895 Hamilton Blvd Suite 101 Allentown PA 18104-6172 | |
(610) 439-0303 | |
(610) 439-1157 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2895 Hamilton Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Melissa Nicholas (BILLING MANAGER) |
Authorized Official Contact | 4848847362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1650 Valley Center Pkwy Suite 100 Bethlehem PA 18017-2344 Ph: (484) 884-7360 | 2895 Hamilton Blvd Suite 101 Allentown PA 18104-6172 Ph: (610) 439-0303 |
NPI Number | 1962421149 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962421149 | NPI | - | NPPES |
2130403001 | Other | PA | KEYSTONE EAST |
100295 | Other | PA | KEYSTONE HEALTH PLAN |
1446638 | Other | PA | HIGHMARK BLUE SHIELD |
50004425 | Other | PA | CAPITAL |
535506 | Other | PA | AETNA |
CA3167 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |