Healthcare Provider Details

I. General information

NPI: 1508016809
Provider Name (Legal Business Name): ALLEN J OREHEK M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 BELMONT TPKE
WAYMART PA
18472-6033
US

IV. Provider business mailing address

231 BELMONT TPKE
WAYMART PA
18472-6033
US

V. Phone/Fax

Practice location:
  • Phone: 570-488-7777
  • Fax: 570-488-9696
Mailing address:
  • Phone: 570-488-7777
  • Fax: 570-488-9696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD063049L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD063049L
License Number StatePA

VIII. Authorized Official

Name: ALLEN J OREHEK
Title or Position: DOCTOR
Credential: M.D.
Phone: 570-488-7777