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1638 Blakeslee Boulevard Dr E Lehighton PA 18235-9623 | |
| (484) 464-9510 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1638 Blakeslee Boulevard Dr E, Lehighton, Pennsylvania |
| Authorized Official Name and Position | Jennifer Stephens (SR VP & CHIEF VALUE OFFICER) |
| Authorized Official Contact | 4848844500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 783311 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | 1638 Blakeslee Boulevard Dr E Lehighton PA 18235-9623 Ph: (484) 464-9510 |
| NPI Number | 1528404787 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528404787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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