Individual
THERESA MAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1250 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6224
(610) 402-3110
Mailing address
PO BOX 689, ALLENTOWN, PA 18105-1556
(484) 862-3200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OT019985
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT019985
PA
Other
Enumeration date
05/04/2020
Last updated
06/07/2023
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