Individual
DR. GREGORY M STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 S CEDAR CREST BLVD., 3RD FLOOR ANDERSON WING, ALLENTOWN, PA 18105
(610) 402-5369
(610) 402-5959
Mailing address
1200 S CEDAR CREST BLVD., 3RD FLOOR ANDERSON WING, ALLENTOWN, PA 18105
(610) 402-5369
(610) 402-5959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS012250
PA
208M00000X
Hospitalist Physician
Primary
OS012250
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619023
HIGHMARK PA BLUE SHIELD
PA
01
—
50044398
CAPITAL BLUE CROSS
PA
01
—
P00165766
PALMETTO GBA MEDICARE
PA
Enumeration date
05/11/2006
Last updated
02/09/2021
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