Organization
CEDAR CREST EMERGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAY SHINGLES D.O. (MEDICAL DIRECTOR)
(610) 435-3111
Entity
Organization
Contact information
Practice address
1101 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-7902
(610) 435-3111
Mailing address
1101 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-7902
(610) 435-3111
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041290002
INDEPENDENCE BLUE CROSS
PA
01
—
02371000
CAPITAL BLUE CROSS
PA
01
—
462851
HIGHMARK BLUE SHIELD
PA
01
—
CC8556
RAILROAD MEDICARE
PA
Enumeration date
07/08/2006
Last updated
08/15/2008
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