Healthcare Provider Details

I. General information

NPI: 1548254725
Provider Name (Legal Business Name): JOHN J. CASSEL, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 S CEDAR CREST BLVD SUITE 1200
ALLENTOWN PA
18103-6256
US

IV. Provider business mailing address

1255 S CEDAR CREST BLVD SUITE 1200
ALLENTOWN PA
18103-6256
US

V. Phone/Fax

Practice location:
  • Phone: 610-437-6222
  • Fax: 610-437-5910
Mailing address:
  • Phone: 610-437-6222
  • Fax: 610-437-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMC933136C
License Number StatePA

VIII. Authorized Official

Name: MARGERY FETTIG
Title or Position: PRACTICE MANAGER
Credential: RN
Phone: 610-437-6222