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Individual

EDMOND OBEID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1720 W. FAIRMOUNT ST, ALLENTOWN, PA 18104
(610) 841-2798
(610) 841-2796
Mailing address
1605 N CEDAR CREST BLVD STE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD429693
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001902866
HIGHMARK BLUE SHIELD
05
1017873020001
PA
01
20056021
AMERIHEALTH MERCY HEALTH
01
2769924000
IBC
01
50062407
CBC
01
P008401
GATEWAY
Enumeration date
07/30/2006
Last updated
05/02/2019
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