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Individual

HARRY W BUCHANAN IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 N 17TH ST, SUITE 200, ALLENTOWN, PA 18104
(610) 433-2021
(610) 433-7856
Mailing address
400 N 17TH ST, SUITE 200, ALLENTOWN, PA 18104
(610) 433-2021
(610) 433-7856

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD029484E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03168201
BLUE CROSS
PA
05
1028623
PA
01
435344
BLUE SHIELD
PA
Enumeration date
11/01/2006
Last updated
09/03/2009
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