Individual
ANDREA SCHELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 S CEDAR CREST BLVD, BOX 689, ALLENTOWN, PA 18105
(610) 402-9080
(610) 402-9029
Mailing address
24 S 18TH ST, ALLENTOWN, PA 18104-5622
(610) 628-8372
(610) 628-8648
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD063708L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000124691
THREE RIVERS
PA
01
—
0018186200005
PA MEDICAID
PA
01
—
01818620
GATEWAY
PA
01
—
050076232
RAIL ROAD MEDICARE
PA
01
—
0791775000
INDEP. BLUE CROSS
PA
01
—
0881754
KEYSTONE CENTRAL
PA
01
—
1128084
KEYSTONE MERCY
PA
01
—
881754
HIGHMARK
PA
Enumeration date
10/13/2005
Last updated
08/31/2015
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