Individual
JOHN PETER AMENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 DESSEN CTR, 1000ALLIANCE DRIVE, HAZLETON, PA 18202-9396
(570) 459-1028
Mailing address
1074 FOREST RD, HAZLETON, PA 18202-9262
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD017859E
PA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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