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1501 Lehigh St Suite 105 Allentown PA 18103-3880 | |
(610) 435-8643 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1501 Lehigh St, Allentown, Pennsylvania |
Authorized Official Name and Position | Robert B Knox (ASSOCIATE EX DIRECTOR OF FINANCE) |
Authorized Official Contact | 6107984500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1901 W Hamilton St Suite 100b Allentown PA 18104-6459 Ph: () - | 1501 Lehigh St Suite 105 Allentown PA 18103-3880 Ph: (610) 435-8643 |
NPI Number | 1932343621 |
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Provider Enumeration Date | 04/24/2009 |
Last Update Date | 04/24/2009 |
Identifier | Type | State | Issuer |
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1932343621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |