Organization
SACRED HEART NEUROLOGY
Active
Other names
Sacred Heart Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY DONALD WILLS M.D. (NEUROLOGIST)
(610) 776-5491
Entity
Organization
Contact information
Practice address
450 W CHEW ST, SUITE 204, ALLENTOWN, PA 18102-3434
(610) 776-5491
(610) 606-4432
Mailing address
450 W CHEW ST, SUITE 204, ALLENTOWN, PA 18102-3434
(610) 776-5491
(610) 606-4432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD018030E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138182
—
PA
Enumeration date
12/19/2006
Last updated
08/22/2020
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