Organization
GEORGE MANJA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PROCTOR (BILLING MANAGER)
(610) 973-8400
Entity
Organization
Contact information
Practice address
4815 W TILGHMAN ST, ALLENTOWN, PA 18104-9374
(610) 973-8400
(610) 366-9278
Mailing address
4815 W TILGHMAN ST, ALLENTOWN, PA 18104-9374
(610) 973-8400
(610) 366-9278
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
04/16/2010
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