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2416 3rd St Whitehall PA 18052-4822 | |
(610) 264-2188 | |
(610) 264-3391 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2416 3rd St, Whitehall, Pennsylvania |
Authorized Official Name and Position | Stephen A Lanshe (VP LEGAL AFFAIRS) |
Authorized Official Contact | 6107765141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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421 W Chew St Physician Accounts Allentown PA 18102-3406 Ph: (610) 776-5100 | 2416 3rd St Whitehall PA 18052-4822 Ph: (610) 264-2188 |
NPI Number | 1932169885 |
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Provider Enumeration Date | 03/24/2006 |
Last Update Date | 02/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932169885 | NPI | - | NPPES |
1526559 | Other | GATEWAY HEALTH PLAN | |
20051975 | Other | AMERIHEALTH MERCY HEALTH | |
1233437 | Other | AETNA HMO | |
2695601001 | Other | IBC | |
50063077 | Other | CBC | |
7059781 | Other | AETNA PPO | |
1835377 | Other | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
The Endocrine Office Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3671 Crescent Ct E, Whitehall, PA 18052 Phone: 484-664-7300 Fax: 484-664-7301 | |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Fairmont St, Whitehall, PA 18052 Phone: 610-432-4122 Fax: 610-432-6677 | |