Organization
MEDICAL COMPLETE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS MONTILLA (CEO)
(610) 419-8088
Entity
Organization
Contact information
Practice address
910 E 4TH ST, BETHLEHEM, PA 18015-1904
(610) 419-8088
(610) 419-8088
Mailing address
910 E 4TH ST, BETHLEHEM, PA 18015-1904
(610) 419-8088
(610) 419-8088
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
03/26/2019
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