| |
21 Corporate Dr Ste 3 Easton PA 18045-2664 | |
(484) 526-4000 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 21 Corporate Dr Ste 3, Easton, Pennsylvania |
Authorized Official Name and Position | Sue Chiavaroli (CVO SUPERVISOR) |
Authorized Official Contact | 4845263569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-3569 | 21 Corporate Dr Ste 3 Easton PA 18045-2664 Ph: (484) 526-4000 |
NPI Number | 1902406762 |
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Provider Enumeration Date | 10/29/2020 |
Last Update Date | 12/09/2020 |
Identifier | Type | State | Issuer |
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1902406762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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