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174 Harvest Ln Pocono Summit PA 18346-7761 | |
(272) 639-5415 | |
(272) 639-5431 |
Full Name | |
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Speciality | Family Medicine |
Location | 174 Harvest Ln, Pocono Summit, Pennsylvania |
Authorized Official Name and Position | Joseph Minahan (PRESIDENT) |
Authorized Official Contact | 4845266048 |
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) 526-4000 | 174 Harvest Ln Pocono Summit PA 18346-7761 Ph: (272) 639-5415 |
NPI Number | 1144994740 |
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Provider Enumeration Date | 08/06/2021 |
Last Update Date | 08/23/2022 |
Identifier | Type | State | Issuer |
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1144994740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |