Healthcare Provider Details

I. General information

NPI: 1023710423
Provider Name (Legal Business Name): ANN A PALATHINGAL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ST LUKES BLVD FL 2
EASTON PA
18045-5671
US

IV. Provider business mailing address

1600 ST LUKES BLVD FL 2
EASTON PA
18045-5671
US

V. Phone/Fax

Practice location:
  • Phone: 484-503-4673
  • Fax: 484-503-4501
Mailing address:
  • Phone: 484-503-4673
  • Fax: 484-503-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberP24-01123
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberOT024986
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: