Healthcare Provider Details

I. General information

NPI: 1427909969
Provider Name (Legal Business Name): YASEMIN GALIBOGLU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S CEDAR CREST BLVD
ALLENTOWN PA
18103-6202
US

IV. Provider business mailing address

5 COLBY CT UNIT 1
LINCOLN PARK NJ
07035-2025
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-7712
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOT025043
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: