Healthcare Provider Details

I. General information

NPI: 1669096004
Provider Name (Legal Business Name): NUHA HENA CEBECI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST
FOUNTAIN HILL PA
18015-1155
US

IV. Provider business mailing address

1730 CHEW ST
ALLENTOWN PA
18104-5549
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-3648
  • Fax:
Mailing address:
  • Phone: 610-969-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD479691
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberMD479691
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: