Individual
MIAE OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1728 W JONATHAN ST STE 100, ALLENTOWN, PA 18104-3170
(610) 628-1225
Mailing address
1728 W JONATHAN ST STE 100, ALLENTOWN, PA 18104-3170
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD434182
PA
Other
Enumeration date
04/28/2008
Last updated
11/20/2021
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