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218 N 2nd St Allentown PA 18102-3508 | |
(610) 841-8400 | |
(610) 841-8401 |
Full Name | |
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Speciality | Clinic/Center |
Location | 218 N 2nd St, Allentown, Pennsylvania |
Authorized Official Name and Position | Paula P Haddad (BILLING) |
Authorized Official Contact | 6108207605 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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635 E Broad St Fl 4 Bethlehem PA 18018-6332 Ph: (610) 820-7605 | 218 N 2nd St Allentown PA 18102-3508 Ph: (610) 841-8400 |
NPI Number | 1841429529 |
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Provider Enumeration Date | 07/02/2009 |
Last Update Date | 07/07/2022 |
Medicare PECOS PAC ID | 2961537352 |
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Medicare Enrollment ID | O20140130000503 |
Identifier | Type | State | Issuer |
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1841429529 | NPI | - | NPPES |
1023235130002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | MD062907L (Pennsylvania) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |