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1627 Chew St Ste 101 Allentown PA 18102-3648 | |
(610) 969-4370 | |
(610) 969-3445 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1627 Chew St Ste 101, Allentown, Pennsylvania |
Authorized Official Name and Position | Veronica Gonzalez (CEO) |
Authorized Official Contact | 6109692728 |
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 19178-3311 Ph: (484) 884-4500 | 1627 Chew St Ste 101 Allentown PA 18102-3648 Ph: (610) 969-4370 |
NPI Number | 1932735651 |
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Provider Enumeration Date | 03/13/2020 |
Last Update Date | 02/21/2023 |
Medicare PECOS PAC ID | 4284065327 |
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Medicare Enrollment ID | O20211025002792 |
Identifier | Type | State | Issuer |
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1932735651 | NPI | - | NPPES |