Individual
DR. JESER VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 N 17TH ST STE 300, ALLENTOWN, PA 18104-5052
(610) 969-3500
(610) 969-3605
Mailing address
45 N 6TH ST APT 277, ALLENTOWN, PA 18101-1101
(415) 728-5245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT023795
PA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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