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NPI Code Detail

MEDICARE: JOHN FRANCIS PRATER

MEDICARE: JOHN FRANCIS PRATER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianMD470172PA

General Provider Information

NPI Number : 1194251462
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FRANCIS PRATER
Provider Business Mailing Address
First Line : 2100 MACK BLVD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-5622
Country : US
Telephone Number : 484-884-0617
Fax Number : 484-884-0628
Provider Business Practice Location Address
First Line : 6900 HAMILTON BLVD
Second Line :
City : TREXLERTOWN
State : PA
Zip : 18087-9101
Country : US
Telephone Number : 610-402-0101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 08/17/2020

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