Michael James Mudry in Allentown - Physician Assistant
Michael James Mudry - NPI 1609834431
Michael James Mudry is a Physician Assistant in Allentown, Pennsylvania. Michael James Mudry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael James Mudry is 1609834431. The last update date is 2023-03-10.
Michael James Mudry's current location address is 1230 S Cedar Crest Blvd Ste 301, Allentown, Pennsylvania. You can contact this provider via phone number 6104324529 and fax number 6104322206. The mailing address for Michael James Mudry is 1230 S Cedar Crest Blvd Ste 301, Allentown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael James Mudry |
|---|---|
| Address | 1230 S Cedar Crest Blvd Ste 301, Allentown, Pennsylvania |
| Phone Number | 6104324529 |
| Fax Number | 6104322206 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609834431 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2023-03-10 |
Provider Mailing Address Detail
| Address | 1230 S Cedar Crest Blvd Ste 301 |
|---|---|
| City | Allentown |
| State | Pennsylvania (PA) |
| Post Code | 181036212 |
| Phone Number | 6104324529 |
| Fax Number | 6104322206 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 25MP00139800 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Michael James Mudry by the Centers for Medicare & Medicaid Services?
The Michael James Mudry has been issued the NPI (National Provider Identifier) 1609834431 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael James Mudry?
The Michael James Mudry is situated at 1230 S Cedar Crest Blvd Ste 301, in the city of Allentown, state of PA, with the zip code 181036212.
What is Michael James Mudry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael James Mudry is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Michael James Mudry receive its 1609834431 assignment from the Centers for Medicare & Medicaid Services?
The Michael James Mudry was assigned its 1609834431 on 2006-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Michael James Mudry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael James Mudry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-10.
NPI Number: 1083611107
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