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NPI Code Detail

MEDICARE: JOYCE CHIKUMA PAC

MEDICARE: JOYCE CHIKUMA PAC
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
1363A00000XPhysician AssistantOA000474LPA

General Provider Information

NPI Number : 1508821927
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE CHIKUMA PAC
Provider Business Mailing Address
First Line : 623 E BROAD ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18018-6332
Country : US
Telephone Number : 610-954-6048
Fax Number : 610-954-3189
Provider Business Practice Location Address
First Line : 305 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1308
Country : US
Telephone Number : 610-759-2208
Fax Number : 610-759-2340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 07/09/2007

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Directions to “ JOYCE CHIKUMA PAC” Practice Location

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