Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Aug 30, 2006
License(s)
MD038300L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 352 NORTHAMPTON ST | Easton, PA 18042-3514 | 610-865-6112 |
| MAILING | 801 OSTRUM ST | Bethlehem, PA 18015-1000 | 484-526-6048 |
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