| Lvpg Family Medicine - Southside | |
|
1648 S 4th St Allentown PA 18103-4922 | |
| (610) 674-4550 | |
| (610) 674-4554 |
| Full Name | Lvpg Family Medicine - Southside |
|---|---|
| Speciality | Family Medicine |
| Location | 1648 S 4th St, Allentown, Pennsylvania |
| Authorized Official Name and Position | James Demopoulos (VP) |
| Authorized Official Contact | 4848623333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvpg Family Medicine - Southside Po Box 783311 Philadelphia PA 19178-3311 Ph: () - | Lvpg Family Medicine - Southside 1648 S 4th St Allentown PA 18103-4922 Ph: (610) 674-4550 |
| NPI Number | 1629140017 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629140017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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