| |
102 Banks Ave Sugarloaf PA 18249-3709 | |
(570) 788-5104 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 102 Banks Ave, Sugarloaf, Pennsylvania |
Authorized Official Name and Position | Jennifer Stephens (SR VP & CHIEF VALUE OFFICER) |
Authorized Official Contact | 4848623152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2100 Mack Blvd Fl 4 Allentown PA 18103-5622 Ph: () - | 102 Banks Ave Sugarloaf PA 18249-3709 Ph: (570) 788-5104 |
NPI Number | 1649034083 |
---|---|
Provider Enumeration Date | 02/07/2024 |
Last Update Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649034083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |