Organization
MAXIME G GEDEON MD PC
Active
Other names
ExcelCare Pain Mangement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY BACHMAN (BILLING MANAGER)
(570) 386-3783
Entity
Organization
Contact information
Practice address
1638 BLAKESLEE BOULEVARD DR E, LEHIGHTON, PA 18235-9623
(570) 386-4400
(570) 386-4050
Mailing address
1638 BLAKESLEE BOULEVARD DR E, LEHIGHTON, PA 18235-9623
(570) 386-4400
(570) 386-4050
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015959640008
—
PA
Enumeration date
04/13/2006
Last updated
12/27/2010
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