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NPI Code Detail

MEDICARE: ADAM ROBERT TERNOSKY PA-C

MEDICARE: ADAM ROBERT TERNOSKY PA-C
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 AssistantOA002938PA

General Provider Information

NPI Number : 1679826036
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM ROBERT TERNOSKY PA-C
Provider Business Mailing Address
First Line : 1253 RAYMOND AVENUE
Second Line :
City : BETHLEHEM
State : PA
Zip : 18018
Country : US
Telephone Number : 610-428-7093
Fax Number :
Provider Business Practice Location Address
First Line : 1101 SOUTH CEDAR CREST BLVD.
Second Line :
City : ALLENTOWN
State : PA
Zip : 18103-7902
Country : US
Telephone Number : 610-435-3111
Fax Number : 610-432-5953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2012
Last Update Date : 10/23/2012

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Directions to “ ADAM ROBERT TERNOSKY PA-C” Practice Location

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