Organization
M J A HEALTHCARE OF THE LEHIGH VALLEY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL ARTAMONOV M.D. (PRESIDENT/MD)
(610) 438-4460
Entity
Organization
Contact information
Practice address
1104 VAN BUREN RD, SUITE 101, EASTON, PA 18045-2030
(610) 438-4460
(610) 438-4473
Mailing address
796 SEVEN BRIDGE RD, EAST STROUDSBURG, PA 18301-7940
(570) 872-9800
(570) 872-9888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD424898
PA
305S00000X
Point of Service
MD424898
PA
Other
Enumeration date
09/25/2012
Last updated
10/23/2012
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