Organization
PENNSYLVANIA PAIN MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J CHOQUETTE D.O. (OWNER/DIRECTOR)
(610) 439-1662
Entity
Organization
Contact information
Practice address
1251 S CEDAR CREST BLVD, SUITE 203, ALLENTOWN, PA 18103-6205
(610) 439-1662
(610) 439-8397
Mailing address
1251 S CEDAR CREST BLVD, SUITE 203, ALLENTOWN, PA 18103-6205
(610) 439-1662
(610) 439-8397
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000768841
HIGHMARK BLUE SHIELD
PA
05
—
0016272440006
—
PA
01
—
02803100
CAPITAL BLUE CROSS
PA
01
—
1520393
GATEWAY HEALTHPLAN
PA
01
—
823259
AETNA
PA
01
—
P3033420
OXFORD HEALTH PLAN
PA
Enumeration date
05/09/2006
Last updated
10/03/2007
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