| Lvpg Matlv | |
|
1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 | |
| (610) 973-1410 | |
| (610) 973-1449 |
| Full Name | Lvpg Matlv |
|---|---|
| Speciality | Internal Medicine |
| Location | 1605 N Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Michael Callahan (ASSOCIATE EXECUTIVE DIRECTOR OF FIN) |
| Authorized Official Contact | 6107984500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvpg Matlv 1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 Ph: (610) 973-1410 | Lvpg Matlv 1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 Ph: (610) 973-1410 |
| NPI Number | 1609010297 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609010297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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