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Organization
THE ROCK WELLNESS CENTER PC
Active
Organization
THE ROCK WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJEEB JOHN TITUS MD (PRESIDENT)
(484) 821-0203
Entity
Organization
Contact information
Practice address
2591 BAGLYOS CIR, SUITE C-50, BETHLEHEM, PA 18020-8027
(484) 821-0203
(484) 821-0214
Mailing address
2591 BAGLYOS CIR, SUITE C-50, BETHLEHEM, PA 18020-8027
(484) 821-0203
(484) 821-0214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD068349L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057886
—
NJ
01
—
P00323966
MEDICARE RAILROAD
PA
Enumeration date
09/25/2008
Last updated
01/20/2009
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