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Individual

REBECCA M PEQUENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4500
(484) 526-6674
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4500
(484) 526-6674

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD423029
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101201187
PA
01
1671386
HIGHMARK BS
PA
Enumeration date
05/11/2006
Last updated
06/26/2014
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