Organization
KHUBCHANDANI-STASIK-ROSEN, PC
Active
Other names
KSR, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J STASIK JR. M.D. (PARTNER, KSR, PC)
(610) 433-7571
Entity
Organization
Contact information
Practice address
1275 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6207
(610) 433-7571
(610) 433-8075
Mailing address
1275 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6207
(610) 433-7571
(610) 433-8075
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074510
BLUE SHIELD
PA
Enumeration date
04/03/2006
Last updated
06/19/2008
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