Organization
EAST PENN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN WILLIAMS D.O. (MEDICAL DIRECTOR)
(610) 928-1150
Entity
Organization
Contact information
Practice address
1003 CHESTNUT ST, EMMAUS, PA 18049-1902
(610) 928-1150
(610) 625-2314
Mailing address
1003 CHESTNUT ST, EMMAUS, PA 18049-1902
(610) 928-1150
(610) 625-2314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016773350004
—
PA
01
—
183915
MEDICARE PTAN
—
01
—
692103
MEDICARE PTAN
—
Enumeration date
12/17/2012
Last updated
12/17/2012
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