Organization
EAST WEST MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVEZ MEMON MD (OWNER)
(570) 420-5435
Entity
Organization
Contact information
Practice address
208 LIFELINE RD, SUITE 102, STROUDSBURG, PA 18360-6419
(570) 420-5435
(570) 420-5437
Mailing address
208 LIFELINE RD, SUITE 102, STROUDSBURG, PA 18360-6419
(570) 420-5435
(570) 420-5437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD058888L
PA
207R00000X
Internal Medicine Physician
MD066364L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017538850001
—
PA
Enumeration date
02/28/2007
Last updated
01/26/2023
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