| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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