Individual
JONATHAN BORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2895 HAMILTON BLVD, SUITE 101, ALLENTOWN, PA 18104-6172
(610) 336-8260
(610) 336-8269
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(610) 798-4500
(610) 798-4699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS002640L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040335000
KEYSTONE EAST
PA
01
—
97409
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/05/2006
Last updated
01/29/2010
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