Individual
ROULA H AINCHAIBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-0469
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MP00126200
NJ
363AM0700X
Medical Physician Assistant
Primary
MA051747
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NEW YORK LICENSE
010039-1
NY
Enumeration date
09/28/2006
Last updated
01/26/2018
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