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3691 Crescent Ct E Suite 201 Whitehall PA 18052-3433 | |
(610) 434-9561 | |
(610) 434-5122 |
Full Name | |
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Speciality | Family Medicine |
Location | 3691 Crescent Ct E, Whitehall, Pennsylvania |
Authorized Official Name and Position | Melissa Nicholas (BILLING MANAGER) |
Authorized Official Contact | 4848847362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1650 Valley Center Pkwy Suite 100 Bethlehem PA 18017-2344 Ph: (484) 884-7360 | 3691 Crescent Ct E Suite 201 Whitehall PA 18052-3433 Ph: (610) 434-9561 |
NPI Number | 1467471623 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467471623 | NPI | - | NPPES |
2130401001 | Other | PA | KEYSTONE EAST |
196861 | Other | PA | KEYSTONE HEALTH PLAN |
2456387 | Other | PA | AETNA |
CA3167 | Other | PA | RAILROAD MEDICARE |
1446636 | Other | PA | HIGHMARK BLUE SHIELD |
50004431 | Other | PA | CAPITAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
The Endocrine Office Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3671 Crescent Ct E, Whitehall, PA 18052 Phone: 484-664-7300 Fax: 484-664-7301 | |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Fairmont St, Whitehall, PA 18052 Phone: 610-432-4122 Fax: 610-432-6677 | |