Penn Medical Group, P.c. | |
780 N Krocks Rd Ste 101a Allentown PA 18106-9075 | |
(610) 365-3354 | |
Not Available |
Full Name | Penn Medical Group, P.c. |
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Speciality | Family Medicine |
Location | 780 N Krocks Rd Ste 101a, Allentown, Pennsylvania |
Authorized Official Name and Position | Peter J Baddick (OWNER, EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5703864171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Penn Medical Group, P.c. 780 N Krocks Rd Ste 101a Allentown PA 18106-9075 Ph: (610) 365-3354 | Penn Medical Group, P.c. 780 N Krocks Rd Ste 101a Allentown PA 18106-9075 Ph: (610) 365-3354 |
NPI Number | 1932253002 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 11/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932253002 | NPI | - | NPPES |
1215993928 | Other | PA | DR. BADDICK NPI |
0015989840002 | Medicaid | PA | |
0019475840006 | Medicaid | PA | |
1629038468 | Other | PA | DR. OGBOLU NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |