Individual
MR. JOSEPH A DICONCETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 NORTHGATE DR, SUITE 104, BETHLEHEM, PA 18017-9411
(610) 691-2221
(610) 865-5655
Mailing address
1999 W POINT DR, BETHLEHEM, PA 18015-5156
(610) 691-2221
(610) 865-5655
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD025018E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01189201
CAPITAL BLUE CROSS
PA
01
—
190451
HIGHMARK
PA
01
—
2256060
AETNA
PA
05
—
7065375
—
PA
Enumeration date
01/11/2006
Last updated
01/05/2018
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