Organization
VALLEY GEROPSYCH, LLC
Active
Other names
Ethos Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJA SOHAIL ABBAS MD (SOLE PROPRIETOR)
(610) 900-4234
Entity
Organization
Contact information
Practice address
428 S 7TH ST, LEHIGHTON, PA 18235
(610) 900-4234
(610) 900-4235
Mailing address
428 S 7TH ST, LEHIGHTON, PA 18235-1824
(610) 900-4234
(610) 900-4235
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
02/28/2019
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