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Organization
PAVEL TERREROS PC
Active
Organization
PAVEL TERREROS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL E TERREROS (PHYSICIAN)
(610) 434-4445
Entity
Organization
Contact information
Practice address
1447 W HAMILTON ST, ALLENTOWN, PA 18102-4231
(610) 434-4445
Mailing address
1447 W HAMILTON ST, ALLENTOWN, PA 18102-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1553404
GATEWAY MEDICARE ASSURED
PA
01
—
1763921
HIGHMARK BLUE SHIELD
PA
01
—
2430504001
INDEPENDENCE BLUE CROSS
PA
01
—
50054589
CAPITAL BLUE CROSS
PA
01
—
7018763
AETNA
PA
01
—
8404242001
CIGNA
PA
Enumeration date
03/22/2007
Last updated
08/10/2007
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