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Organization
RIDGE AVENUE SPORTS MEDICINE, INC.
Active
Organization
RIDGE AVENUE SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARCY LEA SOCRATES (OFFICE MANAGER)
(484) 664-7700
Entity
Organization
Contact information
Practice address
1150 GLENLIVET DR, A-21, ALLENTOWN, PA 18106-3112
(484) 664-7700
(484) 664-7701
Mailing address
514 N 24TH ST, ALLENTOWN, PA 18104-4917
(484) 664-7700
(484) 664-7701
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD025425E
PA
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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