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602 E 21st St Suite 400 Northampton PA 18067-1259 | |
(610) 262-1519 | |
(610) 262-7125 |
Full Name | |
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Speciality | Family Medicine |
Location | 602 E 21st St, Northampton, Pennsylvania |
Authorized Official Name and Position | Stephen A Lanshe (VP LEGAL AFFAIRS) |
Authorized Official Contact | 6107765141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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421 W Chew St Physician Accounts Allentown PA 18102-3406 Ph: (610) 776-5100 | 602 E 21st St Suite 400 Northampton PA 18067-1259 Ph: (610) 262-1519 |
NPI Number | 1386605392 |
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Provider Enumeration Date | 03/29/2006 |
Last Update Date | 02/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386605392 | NPI | - | NPPES |
0607318 | Other | AETNA HMO | |
088803 | Other | PA | HIGHMARK BS GROUP NUMBER |
1519292 | Other | GATEWAY | |
0050846001 | Other | IBC | |
5498112 | Other | AETNA PPO | |
03161100 | Other | PA | CBC GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Ritz Medical Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8542 Airport Rd, Northampton, PA 18067 Phone: 484-795-1000 | |
Northern Valley Primary Care,p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 W 21st St, Suite 101, Northampton, PA 18067 Phone: 610-261-0999 Fax: 610-261-2187 |