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17th And Chew Streets Suite 101 Allentown PA 18104 | |
(610) 969-4370 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 17th And Chew Streets, Allentown, Pennsylvania |
Authorized Official Name and Position | John Berzinsky (VP CFO) |
Authorized Official Contact | 4848840632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 783311 Philadelphia PA 19178-3311 Ph: () - | 17th And Chew Streets Suite 101 Allentown PA 18104 Ph: (610) 969-4370 |
NPI Number | 1215197975 |
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Provider Enumeration Date | 06/16/2008 |
Last Update Date | 08/28/2015 |
Identifier | Type | State | Issuer |
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1215197975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |