NPI 1134470602

M J a Healthcare of the Lehigh Valley P C

Organisation Specialist Easton, PA

Practice location

Address: 1104 van Buren Rd Suite 101, Easton, PA 18045-2030
Phone: (610) 438-4460
Fax: (610) 438-4473
Mailing address: 796 Seven Bridge Rd, East Stroudsburg, PA 18301-7940

Authorised official

Name: Mikhail Artamonov
Title: President/Md
Phone: (610) 438-4460

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MD424898 (PA)

Other Specialist providers in Pennsylvania →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence MD424898 (PA)

Other Point of Service providers in Pennsylvania →

Registry record

NPI: 1134470602
Entity type: Organization
NPI issued: 25 Sep 2012
Record last updated: 23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.