| |
1251 S Cedar Crest Blvd Suite 102a Allentown PA 18103-6205 | |
(610) 776-0377 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1251 S Cedar Crest Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Henry Liu (PRESIDENT) |
Authorized Official Contact | 6407760377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1650 Valley Center Pkwy Suite 100 Bethlehem PA 18017-2344 Ph: (484) 884-4436 | 1251 S Cedar Crest Blvd Suite 102a Allentown PA 18103-6205 Ph: (610) 776-0377 |
NPI Number | 1023062429 |
---|---|
Provider Enumeration Date | 05/20/2006 |
Last Update Date | 09/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023062429 | NPI | - | NPPES |
1411554 | Other | PA | AMERIHEALTH ADMIN |
2098706001 | Other | PA | INDEPENDENCE BLUE CROSS |
50004295 | Other | PA | AMERIHEALTH MERCY |
E1BZ | Other | PA | GEISINGER HEALTH PLAN |
01915633 | Medicaid | PA | |
7693201001 | Other | PA | CIGNA |
1411554 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |