GEORGE L PROVOST

ALLENTOWN, PA
NPI1285620641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MD020842E)
Enumeration Date2005-09-21
Last Update Date2010-09-10
Business Address
-- GEORGE L PROVOST MD
1210 HANOVER AVE
ALLENTOWN, PA 18109-2017
Phone number: 610-437-6490
Mailing Address
-- GEORGE L PROVOST MD
421 W CHEW ST
ALLENTOWN, PA 18102-3406
Phone number: 610-776-5100
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