Organization
CEDAR CREST EMERGICENTER LABORATORY
Active
Parent organization
CEDAR CREST EMERGICENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR CREST EMERGICENTER
Authorized official
DAVID JAY SHINGLES D.O. (MEDICAL DIRECTOR)
(610) 435-3111
Entity
Organization
Contact information
Practice address
1101 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-7902
(610) 435-3111
(610) 432-5953
Mailing address
1101 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-7902
(610) 435-3111
(610) 432-5953
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041290002
KEYSTONE HEALTH PLAN EAST
PA
01
—
305404
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/13/2006
Last updated
06/05/2008
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