Organization
EASTERN PA NEPHROLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JOHNSON MD (OWNER)
(610) 432-4529
Entity
Organization
Contact information
Practice address
2014 CITY LINE RD, SUITE 101, BETHLEHEM, PA 18017-2159
(610) 264-5199
(610) 264-5198
Mailing address
2014 CITY LINE RD, SUITE 101, BETHLEHEM, PA 18017-2159
(610) 264-5199
(610) 264-5198
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
22191501
PA
Other
Enumeration date
03/15/2010
Last updated
05/12/2010
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