Individual
TAPTI MOHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1501 LEHIGH ST, SUITE 103, ALLENTOWN, PA 18103-3880
(610) 628-8413
(610) 628-8434
Mailing address
1501 LEHIGH ST, SUITE 103, ALLENTOWN, PA 18103-3880
(610) 628-8413
(610) 628-8434
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052436
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522325498
TAX ID
PA
Enumeration date
06/18/2006
Last updated
06/17/2009
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