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1627 W Chew St Allentown PA 18102-3648 | |
(610) 969-3390 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 1627 W Chew St, Allentown, 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 |
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Po Box 783311 Philadelphia PA 19178-3311 Ph: () - | 1627 W Chew St Allentown PA 18102-3648 Ph: (610) 969-3390 |
NPI Number | 1164579140 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 01/22/2025 |
Identifier | Type | State | Issuer |
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1164579140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |