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Individual

DR. BARRY WAYNE FEDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
391B NAZARETH PIKE, BETHLEHEM, PA 18020-9601
(610) 759-9678
(610) 759-9186
Mailing address
391B NAZARETH PIKE, BETHLEHEM, PA 18020-9601
(610) 759-9678
(610) 759-9186

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4081L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02785300
CAPITAL BLUE CROSS
PA
01
2111376000
BLUE CROSS PERSONAL CHOIC
PA
01
2957335
AETNA
PA
01
3998498
CIGNA
PA
01
562540
HIGHMARK BLUE SHIELD
PA
01
607154
UNITED HEALTH CARE
PA
Enumeration date
04/12/2006
Last updated
07/09/2010
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