Organization
CAMILLE EYVAZZADEH MD PC
Active
Other names
Eyvazzadeh & Reilly Colon and Rectal Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE EYVAZZADEH MD (PRESIDENT)
(610) 866-2600
Entity
Organization
Contact information
Practice address
406 DELAWARE AVE, BETHLEHEM, PA 18015-1469
(610) 866-2600
(610) 861-7640
Mailing address
406 DELAWARE AVE, BETHLEHEM, PA 18015-1469
(610) 866-2600
(610) 861-7640
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001564322 01
—
PA
Enumeration date
03/14/2006
Last updated
10/19/2007
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