Individual
JULIA CALLAVINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063197
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063197
STATE LICENSE
PA
Enumeration date
01/04/2022
Last updated
05/06/2022
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