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Organization

OTORHINOLARYNGOLOGY ASSOCIATES, P.C.

Active
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Organization

OTORHINOLARYNGOLOGY ASSOCIATES, P.C.

Active
Other names
ORL ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW M WAKSTEIN D.O. (PRESIDENT)
(610) 824-5050
Entity
Organization

Contact information

Practice address
217 FRANKLIN AVE, SUITE 5, PALMERTON, PA 18071-1509
(610) 824-5050
(610) 824-5053
Mailing address
217 FRANKLIN AVE, SUITE 5, PALMERTON, PA 18071-1509
(610) 824-5050
(610) 824-5053

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03247700
CAPITAL BLUE CROSS
PA
01
1468418
BLUE SHIELD
PA
01
DA0683
RAILROAD MEDICARE
PA
Enumeration date
04/11/2006
Last updated
08/22/2020
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