Individual
ARCHIE W HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 110, ALLENTOWN, PA 18103-6224
(610) 435-1003
(610) 435-3184
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003399L
PA
363AS0400X
Surgical Physician Assistant
MA003399L
PA
Other
Enumeration date
07/12/2005
Last updated
10/29/2014
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