Organization
GASTROENTEROLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HARRY PICKLE IV MD (PRESIDENT)
(610) 439-8551
Entity
Organization
Contact information
Practice address
3131 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4812
(610) 439-8551
(610) 439-1435
Mailing address
3131 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4812
(610) 439-8551
(610) 439-1435
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007340280001
—
PA
Enumeration date
08/18/2005
Last updated
09/20/2018
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