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General NPI Number Information
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NPI Number | 1033166863
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Entity Type | Organization
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Legal Business Name | PULMONARY & CRITICAL MEDICINE GROUP, PC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1540 E RACE ST LOWER LEVEL, REAR
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City | ALLENTOWN
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State | PA
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Zip | 18109-9587
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Country | US
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Telephone | 484-223-3412
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Fax | 484-223-3419
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Provider Business Mailing Address
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Address Line | 1540 E RACE ST LOWER LEVEL, REAR
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City | ALLENTOWN
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State | PA
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Zip | 18109-9587
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Country | US
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Telephone | 484-223-3412
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Fax | 484-223-3419
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Authorized Official
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Title or Position | M.D.
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Name | ROSS N FUTERFAS
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Credential |
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Telephone | 484-223-3412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD046660L
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License Number State | PA
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