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1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 | |
(610) 973-1410 | |
(610) 973-1449 |
Full Name | |
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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 |
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1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 Ph: (610) 973-1410 | 1605 N Cedar Crest Blvd Suite 110b Allentown PA 18104-2351 Ph: (610) 973-1410 |
NPI Number | 1609010297 |
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Provider Enumeration Date | 04/27/2009 |
Last Update Date | 10/19/2010 |
Identifier | Type | State | Issuer |
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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 |