Individual
GUILLERMO ANTONIO DE LA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 POND ROAD, SUITE 401, ALLENTOWN, PA 18104
(610) 398-7700
(610) 398-6917
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD429959
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108650KZK
—
PA
Enumeration date
11/27/2006
Last updated
06/12/2023
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