Individual
MARK CHRISTIAN KNOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 200, ALLENTOWN, PA 18103-6224
(610) 402-8430
(610) 402-1676
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD029621E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164760
—
PA
Enumeration date
11/10/2005
Last updated
11/20/2015
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