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1601 W Liberty St Allentown PA 18102-2071 | |
(610) 433-5228 | |
(610) 433-4359 |
Full Name | |
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Speciality | Family Medicine |
Location | 1601 W Liberty St, Allentown, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 6109544991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1601 W Liberty St Allentown PA 18102 Ph: (610) 433-5228 | 1601 W Liberty St Allentown PA 18102-2071 Ph: (610) 433-5228 |
NPI Number | 1295964278 |
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Provider Enumeration Date | 07/10/2009 |
Last Update Date | 04/19/2010 |
Identifier | Type | State | Issuer |
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1295964278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Pennsylvania) | Primary |