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3050 Hamilton Blvd Suite 110 Allentown PA 18103-3691 | |
(484) 223-3300 | |
(484) 223-3464 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3050 Hamilton Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 6109544911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 Ostrum St Enrollment Center Bethlehem PA 18015-1000 Ph: (484) 526-6048 | 3050 Hamilton Blvd Suite 110 Allentown PA 18103-3691 Ph: (484) 223-3300 |
NPI Number | 1649207184 |
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Provider Enumeration Date | 06/28/2006 |
Last Update Date | 10/19/2011 |
Identifier | Type | State | Issuer |
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1649207184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |