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1627 Chew St Ste 403 Allentown PA 18102-3648 | |
(610) 969-3600 | |
(610) 969-3601 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1627 Chew St Ste 403, Allentown, Pennsylvania |
Authorized Official Name and Position | Veronica Gonzalez (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6109692491 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 780631 Philadelphia PA 19178-0631 Ph: (484) 884-4500 | 1627 Chew St Ste 403 Allentown PA 18102-3648 Ph: (610) 969-3600 |
NPI Number | 1760017636 |
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Provider Enumeration Date | 03/11/2020 |
Last Update Date | 12/15/2021 |
Medicare PECOS PAC ID | 4284065327 |
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Medicare Enrollment ID | O20211027001371 |
Identifier | Type | State | Issuer |
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1760017636 | NPI | - | NPPES |