Organization
CHS PROFESSIONAL PRACTICE, P.C.
Active
Other names
COORDINATED HEALTH PRIMARY CARE-HAZLETON
Organization subpart
No
Provider details
NPI number
Authorized official
AMY NYBERG (PRESIDENT & COO)
(610) 861-8080
Entity
Organization
Contact information
Practice address
26 STATION CIR, HAZLETON, PA 18202-9726
(610) 861-8080
(570) 497-4046
Mailing address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
(610) 861-0854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2012
Last updated
01/23/2020
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