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Individual

DR. JACK CHAMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-4500
Mailing address
PO BOX 319, DUNMORE, PA 18512-0319

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS009804L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017982500006
PA
Enumeration date
02/15/2006
Last updated
08/27/2007
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