Individual
RON MAHLAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 N 6TH ST, ALLENTOWN, PA 18102-4112
(610) 432-4356
(484) 221-9130
Mailing address
PO BOX 5349, BETHLEHEM, PA 18015-0349
(484) 221-9136
(484) 221-9130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD065683L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047189
GATEWAY 65 COMPLETE
PA
01
—
H34962
AMERIHEALTH 65 COMPLETE
PA
Enumeration date
02/08/2007
Last updated
07/08/2007
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