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General NPI Number Information
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NPI Number | 1548450984
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Entity Type | Individual
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Provider Name | USAMA GERGIS MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1240 S CEDAR CREST BLVD STE 401
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City | ALLENTOWN
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State | PA
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Zip | 18103-6218
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Country | US
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Telephone | 610-402-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E 70TH ST STARR 3
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City | NEW YORK
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State | NY
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Zip | 10021-9800
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Country | US
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Telephone | 212-746-6736
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 244658
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD469443
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License Number State | PA
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