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General NPI Number Information
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NPI Number | 1538755277
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Entity Type | Individual
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Provider Name | MARK PAUL VOYACK PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 1200 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-6202
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Country | US
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Telephone | 610-402-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 705 KOHLER AVE
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City | OLD FORGE
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State | PA
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Zip | 18518-1040
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Country | US
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Telephone | 570-862-9615
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA062148
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License Number State | PA
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