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MARK P SHAMPAIN MD PC

Allergy

Allentown, Pennsylvania

Provider NPI: 1437105749

Organization Information:
Organization Name:  MARK P SHAMPAIN MD PC


Practice Location:
3131 COLLEGE HEIGHTS BLVD SUITE 200 ALLENTOWN, PA 18104 US
Tel: 610-820-7611  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy

Other Provider Identifiers:

IssuerNumberStateType
MEDICAL ASSISTANCE001693052000PA01
08418110001PA05
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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