Individual
JUSTINA MOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 EASTON AVE, BETHLEHEM, PA 18017-4208
(610) 694-1000
(610) 867-7180
Mailing address
2100 MACK BLVD, 2ND FL, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
619717
NY
363LF0000X
Family Nurse Practitioner
F337640-1
NY
363LF0000X
Family Nurse Practitioner
Primary
SP013822
PA
Other
Enumeration date
08/25/2009
Last updated
02/08/2018
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