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NPI Code Detail

MEDICARE: JONATHAN SHINGLES D.O.

MEDICARE: JONATHAN SHINGLES D.O.
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
1207P00000XEmergency Medicine PhysicianOS012756PA

General Provider Information

NPI Number : 1659301091
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN SHINGLES D.O.
Provider Business Mailing Address
First Line : 4367 CASTLE CT
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-9304
Country : US
Telephone Number : 610-398-8455
Fax Number :
Provider Business Practice Location Address
First Line : 1101 S CEDAR CREST BLVD
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-7902
Country : US
Telephone Number : 610-435-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 09/19/2019

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Directions to “ JONATHAN SHINGLES D.O.” Practice Location

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