Individual
JEFFREY SCOTT MAYRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 BRIGHTON ST, #303, BETHLEHEM, PA 18015-1273
(610) 868-1100
(610) 868-1111
Mailing address
425 BRIGHTON ST, #303, BETHLEHEM, PA 18015-1273
(610) 868-1100
(610) 868-1111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD421483
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100936275
—
PA
Enumeration date
06/06/2006
Last updated
02/14/2014
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