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Individual

DR. LINDSLEY DODD VAN DER VEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2025 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 258-3567
(610) 258-3568
Mailing address
2025 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 258-3567
(610) 258-3568

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
25MA04355600
NJ
207RG0100X
Gastroenterology Physician
Primary
MD025006E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
127646
MEDICARE
PA
Enumeration date
05/19/2006
Last updated
09/21/2016
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