Individual
JEKATERINA TRETYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4000
Mailing address
1943 PINEHURST CT APT G, ALLENTOWN, PA 18109-3293
(610) 868-5778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT185722
PA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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