Organization
FOGELSVILLE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH STANTON MD (OWNER)
(610) 336-4676
Entity
Organization
Contact information
Practice address
8031 MAIN ST, FOGELSVILLE, PA 18051-1724
(610) 336-4676
(610) 336-4677
Mailing address
8031 MAIN ST, PO BOX 668, FOGELSVILLE, PA 18051-1724
(610) 336-4676
(610) 336-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD043739L
PA
Other
Enumeration date
04/17/2006
Last updated
04/05/2010
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