Daniel Malleske, | |
1210 S Cedar Crest Blvd Ste 2700, Allentown, PA 18103-6239 | |
(610) 402-3866 | |
Not Available |
Full Name | Daniel Malleske |
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Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 1210 S Cedar Crest Blvd Ste 2700, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881635472 | NPI | - | NPPES |
2567039 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35080648 (Ohio) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | MD474784 (Pennsylvania) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Mailing Address | Practice Location Address |
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Daniel Malleske, 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Daniel Malleske, 1210 S Cedar Crest Blvd Ste 2700, Allentown, PA 18103-6239 Ph: (610) 402-3866 |
Yalile Perez, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 1605 N Cedar Crest Blvd Ste 117&119, Allentown, PA 18104 Phone: 610-437-6687 Fax: 610-437-5232 | |
Dr. Ruchi Gupta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N 17th St, Suite 309, Allentown, PA 18104 Phone: 610-437-6687 | |
Dr. Douglas Mchale, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-7712 Fax: 224-484-1306 | |
Dr. Sajani Jitendra Sukhadia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1611 Pond Rd Ste 400, Allentown, PA 18104 Phone: 610-402-8000 | |
Dr. Heather Noreen Becker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-9750 | |
Sara S Viessman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1627 W Chew St, Suite 601, Allentown, PA 18102 Phone: 610-969-2555 | |
Paige Payne, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Chew St Ste 203, Allentown, PA 18102 Phone: 484-503-3058 |