MEDICARE: MARK S SPRINGER MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1043354913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK S SPRINGER MD PC

Provider Business Mailing Address
First Line	:	6083 HAMILTON BLVD
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18106-9767
Country	:	US
Telephone Number	:	610-841-4404
Fax Number	:	610-395-9473

Provider Business Practice Location Address
First Line	:	6083 HAMILTON BLVD
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18106-9767
Country	:	US
Telephone Number	:	610-841-4404
Fax Number	:	610-395-9473

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK SPRINGER
Credential	:	MD
Telephone Number	:	610-841-4404

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/28/2012

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