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Organization
ALC OF LEHIGH VALLEY INC
Active
Organization
ALC OF LEHIGH VALLEY INC
Active
Other names
Azani Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA CECILIA GAVIN MD (CEO/MEDICAL DIRECTOR)
(610) 530-0151
Entity
Organization
Contact information
Practice address
3101 EMRICK BLVD, SUITE #201, BETHLEHEM, PA 18020-8037
(610) 625-3000
(610) 625-3003
Mailing address
3067 JORDAN RD, OREFIELD, PA 18069-2261
(610) 625-3000
(610) 625-3003
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD061743L
PA
Other
Enumeration date
07/23/2006
Last updated
05/29/2010
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