| Life Change Health P.c. | |
|
497 Bushkill Plaza Ln Ste B Wind Gap PA 18091 | |
| (610) 863-6767 | |
| Not Available |
| Full Name | Life Change Health P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 497 Bushkill Plaza Ln Ste B, Wind Gap, Pennsylvania |
| Authorized Official Name and Position | Albert Basil Defranco (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6108636767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Change Health P.c. 497 Bushkill Plaza Ln Ste B Wind Gap PA 18091-9665 Ph: (610) 863-6767 | Life Change Health P.c. 497 Bushkill Plaza Ln Ste B Wind Gap PA 18091 Ph: (610) 863-6767 |
| NPI Number | 1306332473 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306332473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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