Individual
ALAN PETER MUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3570 HAMILTON BLVD, SUITE 201, ALLENTOWN, PA 18103-4512
(610) 433-7481
(610) 433-3991
Mailing address
3570 HAMILTON BLVD, SUITE 201, ALLENTOWN, PA 18103-4512
(610) 433-7481
(610) 433-3991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005099L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00149306
—
PA
01
—
07118
BS
PA
01
—
0818989
KEYSTONE CENTRAL
PA
01
—
1000227
AMERI HEALTH MERCY
PA
Enumeration date
03/01/2006
Last updated
12/06/2013
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