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Individual

DR. JEANETTE M BLAUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1240 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6369
(610) 402-7800
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD060676L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018443620002
PA
01
01180101
CAPITAL BC
PA
01
0867384000
KEYSTONE HEALTH PLAN EAST
PA
01
0923334
KEYSTONE HEALTHPLAN CENTR
PA
01
133538
MEDPLUS/THREE RIVERS
PA
01
1522252
GATEWAY HEALTH PLAN
PA
01
20008452
AMERIHEALTH MERCY
PA
01
2008452
KEYSTONE MERCY
PA
01
77729
GEISINGER HEALTH PLAN
PA
01
8748544001
CIGNA HMO
PA
01
920006301
RAILROAD MEDICARE
PA
01
923334
BCBS PA
PA
01
P3159667
OXFORD
PA
Enumeration date
11/21/2005
Last updated
09/15/2022
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