# CEDAR CREST ENT ASSOCIATES P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073575973
- **Authorized official:** DR. THEODORE H GAYLOR M.D. (M.D./PRESIDENT)
- **Authorized official phone:** (610) 770-9797

## Contact information

- **Practice address:** 1251 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6205
- **Practice address phone:** (610) 770-9797
- **Practice address fax:** (610) 770-9521
- **Mailing address:** 1251 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6205
- **Mailing address phone:** (610) 770-9797
- **Mailing address fax:** (610) 770-9521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | MD022099E | PA | — |
| 207YP0228X | Pediatric Otolaryngology Physician | MD022099E | PA | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | MD022099E | PA | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 02/27/2008