Healthcare Provider Details

I. General information

NPI: 1043354913
Provider Name (Legal Business Name): MARK S SPRINGER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6083 HAMILTON BLVD
ALLENTOWN PA
18106-9767
US

IV. Provider business mailing address

6083 HAMILTON BLVD
ALLENTOWN PA
18106-9767
US

V. Phone/Fax

Practice location:
  • Phone: 610-841-4404
  • Fax: 610-395-9473
Mailing address:
  • Phone: 610-841-4404
  • Fax: 610-395-9473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK SPRINGER
Title or Position: PRESIDENT
Credential: MD
Phone: 610-841-4404