Organization
HOMETOWN INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON MADEIRA M.D. (PRESIDENT)
(610) 770-9569
Entity
Organization
Contact information
Practice address
2905 EDGEMONT DR, ALLENTOWN, PA 18103-5409
(610) 770-9569
(610) 770-9569
Mailing address
2905 EDGEMONT DR, ALLENTOWN, PA 18103-5409
(610) 770-9569
(610) 770-9569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD072392L
PA
Other
Enumeration date
12/09/2010
Last updated
03/23/2011
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