Individual
DENNIS JAMES KONDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(610) 377-7174
(610) 377-4785
Mailing address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(610) 377-7174
(610) 377-4785
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
C2-0007569
DE
207QA0505X
Adult Medicine Physician
C2-0007569
DE
207QA0505X
Adult Medicine Physician
Primary
OS004813L
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
C2-0007569
DE
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OS004813L
PA
Other
Enumeration date
03/09/2007
Last updated
11/25/2016
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