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3080 Hamilton Blvd Suite 200 Allentown PA 18103 | |
(610) 776-1603 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 3080 Hamilton Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | James Demopoulos (SR VP & COO) |
Authorized Official Contact | 4848844500 |
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: () - | 3080 Hamilton Blvd Suite 200 Allentown PA 18103 Ph: (610) 776-1603 |
NPI Number | 1588944953 |
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Provider Enumeration Date | 08/17/2011 |
Last Update Date | 05/11/2022 |
Identifier | Type | State | Issuer |
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1588944953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | (Pennsylvania) | Primary |