Organization
ADVANCED DERMATOLOGY ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J GUST MD (PRESIDENT)
(610) 437-4134
Entity
Organization
Contact information
Practice address
1259 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6206
(610) 437-4134
(610) 433-9690
Mailing address
1259 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6206
(610) 437-4134
(610) 770-0993
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02343000
CAPITAL BLUE CROSS GROUP#
PA
01
—
172424
HIGHMARK GROUP NUMBER
PA
01
—
CA0756
RAILROAD MEDICARE
PA
Enumeration date
10/04/2005
Last updated
03/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us