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421 W Chew St Sacred Heart Hospital Allentown PA 18102-3406 | |
(610) 776-5100 | |
(610) 663-3113 |
Full Name | |
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Speciality | Internal Medicine |
Location | 421 W Chew St, Allentown, Pennsylvania |
Authorized Official Name and Position | Stepehn 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 | 421 W Chew St Sacred Heart Hospital Allentown PA 18102-3406 Ph: (610) 776-5100 |
NPI Number | 1376533281 |
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Provider Enumeration Date | 10/24/2005 |
Last Update Date | 02/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376533281 | NPI | - | NPPES |
03162700 | Other | PA | CBC GROUP NUMBER |
1961959 | Other | HIGHMARK BLUE SHIELD | |
5212022 | Other | AETNA PPO | |
1052000 | Other | AMERIHEALTH MERCY HEALTH | |
1554703 | Other | GATEWAY | |
0459718 | Other | AETNA HMO | |
CJ0825 | Other | RR MEDICARE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |