| Northwestern Medical Center Pc | |
|
7096 Decatur St New Tripoli PA 18066-3815 | |
| (610) 298-8521 | |
| (610) 298-3021 |
| Full Name | Northwestern Medical Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7096 Decatur St, New Tripoli, Pennsylvania |
| Authorized Official Name and Position | Theresa D Veron (OFFICE MANAGER) |
| Authorized Official Contact | 6102988521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medical Center Pc 7096 Decatur St New Tripoli PA 18066-3815 Ph: (610) 298-8521 | Northwestern Medical Center Pc 7096 Decatur St New Tripoli PA 18066-3815 Ph: (610) 298-8521 |
| NPI Number | 1568459121 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406839612 |
|---|---|
| Medicare Enrollment ID | O20040609001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568459121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Barry R Follweiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942297502 PECOS PAC ID: 9032192133 Enrollment ID: I20040611000172 |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7096 Decatur St, New Tripoli, PA 18066 Phone: 610-298-8521 Fax: 610-298-3021 |