| |
131 S Broadway Wind Gap PA 18091-1425 | |
(610) 863-7888 | |
(610) 863-1081 |
Full Name | |
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Speciality | Family Medicine |
Location | 131 S Broadway, Wind Gap, Pennsylvania |
Authorized Official Name and Position | Mark Wright Powell (PARTNER) |
Authorized Official Contact | 6108637888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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131 S Broadway Wind Gap PA 18091-1425 Ph: (610) 863-7888 | 131 S Broadway Wind Gap PA 18091-1425 Ph: (610) 863-7888 |
NPI Number | 1730204249 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730204249 | NPI | - | NPPES |
02283700 | Other | PA | CAPITAL BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD035977E (Pennsylvania) | Primary |
Lvhn Coordinated Professional Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Jacobsburg Rd, Wind Gap, PA 18091 Phone: 610-861-8080 | |
Slate Belt Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 826 S Broadway, Wind Gap, PA 18091 Phone: 610-863-3019 Fax: 610-863-6732 | |
St. Luke's Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Male Rd, Wind Gap, PA 18091 Phone: 610-654-1000 |