| Maureen C. Persin Do Pc | |
|
217 W Broad St Bethlehem PA 18018-5517 | |
| (610) 866-0466 | |
| (610) 866-1405 |
| Full Name | Maureen C. Persin Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 217 W Broad St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Maureen C. Persin (PRESIDENT) |
| Authorized Official Contact | 6108660466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen C. Persin Do Pc Po Box 3667 Allentown PA 18106-0667 Ph: (610) 289-2980 | Maureen C. Persin Do Pc 217 W Broad St Bethlehem PA 18018-5517 Ph: (610) 866-0466 |
| NPI Number | 1952415010 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8729987953 |
|---|---|
| Medicare Enrollment ID | O20040107000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952415010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS008314L (Pennsylvania) | Primary |
| Provider Name | Maureen C Persin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659485704 PECOS PAC ID: 1355240599 Enrollment ID: I20040107000138 |
| Provider Name | Kerry Lenahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295369163 PECOS PAC ID: 6800207473 Enrollment ID: I20201203000801 |
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