| Whitehall Medical Associates, Llc | |
|
525 5th St Whitehall PA 18052 | |
| (610) 434-6678 | |
| Not Available |
| Full Name | Whitehall Medical Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 525 5th St, Whitehall, Pennsylvania |
| Authorized Official Name and Position | Wael Yacoub (OWNER) |
| Authorized Official Contact | 6104346678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehall Medical Associates, Llc 525 5th St Whitehall PA 18052 Ph: (610) 434-6678 | Whitehall Medical Associates, Llc 525 5th St Whitehall PA 18052 Ph: (610) 434-6678 |
| NPI Number | 1760730360 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/29/2012 |
| Medicare PECOS PAC ID | 6608013511 |
|---|---|
| Medicare Enrollment ID | O20130514000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760730360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD418291 (Pennsylvania) | Primary |
| Provider Name | Wael Yacoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770546533 PECOS PAC ID: 8123203197 Enrollment ID: I20110506000561 |
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