Individual
JOHN D PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
LVPG EXPRESSCARE MUHLENBERG, 2649 SCHOENERSVILLE ROAD SUITE 201, BETHLEHEM, PA 18017-7316
(484) 884-8110
(610) 868-5333
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-0469
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021855
NY
363A00000X
Physician Assistant
1379
TN
363A00000X
Physician Assistant
Primary
MA056726
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025889-00
—
FL
05
—
3664980
—
TN
01
—
4151193
BLUE CROSS BLUE SHIELD
TN
01
—
621860059
TRICARE
TN
01
—
62186005901
AMERICHOICE
TN
Enumeration date
08/18/2006
Last updated
04/19/2018
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