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3420 Walbert Ave Suite 100 Allentown PA 18104 | |
(610) 530-8413 | |
(610) 530-8418 |
Full Name | |
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Speciality | Family Medicine |
Location | 3420 Walbert Ave, Allentown, Pennsylvania |
Authorized Official Name and Position | Joseph W Minahan (PRESIDENT) |
Authorized Official Contact | 4845266162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-6048 | 3420 Walbert Ave Suite 100 Allentown PA 18104 Ph: (610) 530-8413 |
NPI Number | 1376030585 |
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Provider Enumeration Date | 04/13/2018 |
Last Update Date | 05/15/2018 |
Identifier | Type | State | Issuer |
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1376030585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |