Organization
MARK P SHAMPAIN MD PC
Active
Other names
Shampain & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P SHAMPAIN MD (OWNER)
(610) 820-7611
Entity
Organization
Contact information
Practice address
3131 COLLEGE HEIGHTS BLVD, SUITE 200, ALLENTOWN, PA 18104
(610) 820-7611
(610) 820-9884
Mailing address
3131 COLLEGE HEIGHTS BLVD, SUITE 200, ALLENTOWN, PA 18104
(610) 820-7611
(610) 820-9884
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001693052000
MEDICAL ASSISTANCE
PA
05
—
08418110001
—
PA
Enumeration date
05/26/2006
Last updated
07/14/2010
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