Organization
VALLEY GEROPSYCH, LLC
Active
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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