Miriam Shustik, Md, Pc | |
203 Park Vista Ter Allentown PA 18104-4525 | |
(610) 703-7244 | |
Not Available |
Full Name | Miriam Shustik, Md, Pc |
---|---|
Speciality | Family Medicine |
Location | 203 Park Vista Ter, Allentown, Pennsylvania |
Authorized Official Name and Position | Miriam Shustik (OWNER) |
Authorized Official Contact | 6107037244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Miriam Shustik, Md, Pc 203 Park Vista Ter Allentown PA 18104-4525 Ph: (610) 703-7244 | Miriam Shustik, Md, Pc 203 Park Vista Ter Allentown PA 18104-4525 Ph: (610) 703-7244 |
NPI Number | 1649546946 |
---|---|
Provider Enumeration Date | 03/30/2012 |
Last Update Date | 03/30/2012 |
Medicare PECOS PAC ID | 9739344698 |
---|---|
Medicare Enrollment ID | O20120628000051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649546946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD062421L (Pennsylvania) | Primary |
Provider Name | Miriam Shustik |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427062736 PECOS PAC ID: 9739196056 Enrollment ID: I20060403000086 |
Provider Name | Catherine T Caruso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518964907 PECOS PAC ID: 0143316034 Enrollment ID: I20071024000168 |