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931 Hamilton St Fourth Floor Allentown PA 18101-1140 | |
(610) 433-4680 | |
(610) 433-4707 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 931 Hamilton St, Allentown, Pennsylvania |
Authorized Official Name and Position | Lee P Seckinger (PRACTICE DIRECTOR) |
Authorized Official Contact | 6104334680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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931 Hamilton St Fourth Floor Allentown PA 18101-1140 Ph: (610) 433-4680 | 931 Hamilton St Fourth Floor Allentown PA 18101-1140 Ph: (610) 433-4680 |
NPI Number | 1942439385 |
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Provider Enumeration Date | 07/07/2009 |
Last Update Date | 05/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942439385 | NPI | - | NPPES |
1023235130001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD062907L (Pennsylvania) | Secondary |
261QC1500X | Clinic/center - Community Health | MD062907L (Pennsylvania) | Primary |