Healthcare Provider Details

I. General information

NPI: 1679728232
Provider Name (Legal Business Name): ALLENTOWN MEDICAL SERICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2008
Last Update Date: 11/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 W HAMILTON ST STE 200
ALLENTOWN PA
18104-6329
US

IV. Provider business mailing address

1 ALPHA AVE STE 20
VOORHEES NJ
08043-1049
US

V. Phone/Fax

Practice location:
  • Phone: 610-782-0573
  • Fax: 610-782-0574
Mailing address:
  • Phone: 856-616-8836
  • Fax: 856-427-6181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: NANCY LUKE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 856-616-8836