Full Name | |
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Speciality | Internal Medicine |
Location | 500 1st St, Weatherly, 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 |
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2100 Mack Blvd Fl 4 Allentown PA 18103-5622 Ph: () - | 500 1st St Weatherly PA 18255-1506 Ph: (570) 427-8643 |
NPI Number | 1790540649 |
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Provider Enumeration Date | 02/20/2024 |
Last Update Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790540649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |