Individual
SHANTH ANDREW GOONEWARDENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S CEDAR CREST BLVD, LEHIGH VALLEY HOSPITAL, PATHOLOGY DEPT. 2ND FLOOR GSB, ALLENTOWN, PA 18103-6202
(610) 402-8140
(610) 402-1691
Mailing address
1200 S CEDAR CREST BLVD, LEHIGH VALLEY HOSPITAL, PATHOLOGY DEPT., 2ND FLOOR GSB, ALLENTOWN, PA 18103-6202
(610) 402-8140
(610) 402-1691
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD-066923-L
PA
Other
Enumeration date
10/11/2006
Last updated
07/11/2007
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