Organization
ELWYN
Active
Other names
Allentown-ICM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL REARDON MBA (VICE PRESIDENT OF FINANCE)
(610) 891-2021
Entity
Organization
Contact information
Practice address
111 ELWYN RD, ALLENTOWN-ICM, ELWYN, PA 19063-4622
(610) 891-2092
Mailing address
111 ELWYN RD, ALLENTOWN-ICM, ELWYN, PA 19063-4622
(610) 891-2092
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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