GENE J UPANAVAGE

LEHIGHTON, PA
NPI1760468219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  OS003176L)
Enumeration Date2005-12-16
Last Update Date2007-07-08
Business Address
-- GENE J UPANAVAGE DO
211 N 12TH ST
LEHIGHTON, PA 18235-1138
Phone number: 610-377-7080
Mailing Address
-- GENE J UPANAVAGE DO
PO BOX 3012
WILMINGTON, DE 19804-0012
Phone number: 800-456-4629