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21 Corporate Dr Ste. 1 Easton PA 18045-2664 | |
| (615) 467-4158 | |
| (615) 467-1267 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Corporate Dr, Easton, Pennsylvania |
| Authorized Official Name and Position | Ashley Koch (CFO) |
| Authorized Official Contact | 6175625359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9 Galen St Watertown MA 02472-4515 Ph: (617) 562-5359 | 21 Corporate Dr Ste. 1 Easton PA 18045-2664 Ph: (615) 467-4158 |
| NPI Number | 1073054458 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073054458 | NPI | - | NPPES |
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