Individual
MR. ADAM PENGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2170 KISTLER AVE, BETHLEHEM, PA 18015-4710
(610) 392-6333
Mailing address
2170 KISTLER AVE, BETHLEHEM, PA 18015-4710
(610) 392-6333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003861
PA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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