Organization
PA MOBILE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELY D RIVERA (BILLING SUPERVISOR)
(203) 869-5515
Entity
Organization
Contact information
Practice address
712 S 5TH ST, ALLENTOWN, PA 18103-3306
(203) 869-5515
(203) 869-5765
Mailing address
67 HOLLY HILL LN STE 102, GREENWICH, CT 06830-6072
(203) 869-5515
(203) 869-5765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD462752
PA
Other
Enumeration date
01/09/2018
Last updated
03/19/2018
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