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1700 St Lukes Blvd Ste 200 Easton PA 18045-5670 | |
(484) 503-0400 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1700 St Lukes Blvd Ste 200, Easton, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 4845264911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1700 St Lukes Blvd Ste 200 Easton PA 18045-5670 Ph: (484) 503-0400 | 1700 St Lukes Blvd Ste 200 Easton PA 18045-5670 Ph: (484) 503-0400 |
NPI Number | 1790036002 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 03/12/2019 |
Identifier | Type | State | Issuer |
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1790036002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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