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CEDAR CREST ENT ASSOCIATES P.C.

Allergy

Allentown, Pennsylvania

Provider NPI: 1073575973

Organization Information:
Organization Name:  CEDAR CREST ENT ASSOCIATES P.C.


Practice Location:
1251 S CEDAR CREST BLVD SUITE 100 ALLENTOWN, PA 18103 US
Tel: 610-770-9797  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
PAMD022099E
N207YP0228XPhysicians
Otolaryngology
PAMD022099E
Y207YX0007XPhysicians
Otolaryngology
PAMD022099E

Other Provider Identifiers:

IssuerNumberStateType
CAPITAL BLUE CROSS02348200PA01
AETNA US HEALTHCARE0549870PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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