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451 W Chew St Suite 301 Allentown PA 18102-3472 | |
(610) 663-3258 | |
(610) 663-3262 |
Full Name | |
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Speciality | Internal Medicine - Infectious Disease |
Location | 451 W Chew St, Allentown, Pennsylvania |
Authorized Official Name and Position | Laurie Gombert (VP FINANCE) |
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 | 451 W Chew St Suite 301 Allentown PA 18102-3472 Ph: (610) 663-3258 |
NPI Number | 1578525804 |
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Provider Enumeration Date | 04/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578525804 | NPI | - | NPPES |
50047325 | Other | PA | CBC GROUP NUMBER |
459178 | Other | PA | HIGHMARK BLS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |