Individual
NATHAN PAUL FENSTERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD, STE 405, ALLENTOWN, PA 18103-6224
(610) 402-8420
(610) 402-1689
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0744
NH
363AM0700X
Medical Physician Assistant
Primary
MA053532
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30337806
—
NH
05
—
9000447
—
VT
Enumeration date
09/16/2008
Last updated
12/18/2015
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