Individual
GREGORY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2428 WALBERT AVE, ALLENTOWN, PA 18104-1350
(610) 432-3183
(610) 437-5180
Mailing address
2428 WALBERT AVE, ALLENTOWN, PA 18104-1350
(610) 432-3183
(610) 437-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009687L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01232202
CAPITAL BC
PA
Enumeration date
05/30/2006
Last updated
09/25/2012
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