| Allentown Infectious Diseases Services, Inc. | |
|
1210 S Cedar Crest Blvd Suite 2700 Allentown PA 18103-6229 | |
| (610) 402-8430 | |
| (610) 402-1676 |
| Full Name | Allentown Infectious Diseases Services, Inc. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1210 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Mark C Knouse (PRESIDENT) |
| Authorized Official Contact | 6104028430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allentown Infectious Diseases Services, Inc. 1210 S Cedar Crest Blvd Suite 2700 Allentown PA 18103-6229 Ph: (610) 402-8430 | Allentown Infectious Diseases Services, Inc. 1210 S Cedar Crest Blvd Suite 2700 Allentown PA 18103-6229 Ph: (610) 402-8430 |
| NPI Number | 1346295359 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346295359 | NPI | - | NPPES |
| 0010336500003 | Medicaid | PA | |
| 0041202000 | Other | PA | KHPE |
| 02348100 | Other | PA | CBC, KHPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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