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1230 S Cedar Crest Blvd Suite 201 Allentown PA 18103-6212 | |
(610) 402-1051 | |
(610) 402-1059 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1230 S Cedar Crest Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Kimberly Ann Castagna (PRACTICE MANAGER) |
Authorized Official Contact | 6104021051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1230 S Cedar Crest Blvd Suite 201 Allentown PA 18103-6212 Ph: (610) 402-1051 | 1230 S Cedar Crest Blvd Suite 201 Allentown PA 18103-6212 Ph: (610) 402-1051 |
NPI Number | 1558315077 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558315077 | NPI | - | NPPES |
904833 | Other | PA | BLUE SHIELD |
02343700 | Other | PA | CAPITAL BLUE CROSS |
0376057001 | Other | PA | KEYSTONE EAST/AMERIHEALTH |