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Individual

THUSHA SIVANANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 S CEDAR CREST BLVD STE 400, ALLENTOWN, PA 18103-6224
(610) 402-6555
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP021255
PA
363LG0600X
Gerontology Nurse Practitioner
SP021255
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP021255
PA

Other

Enumeration date
12/07/2019
Last updated
09/16/2022
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