DANA RICHARD IDE

ALLENTOWN, PA
NPI1861473217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA002895L)
Enumeration Date2005-11-10
Last Update Date2014-10-31
Business Address
-- DANA RICHARD IDE P.A.-C.
1250 S CEDAR CREST BLVD STE 110
ALLENTOWN, PA 18103-6224
Phone number: 610-435-1003
Mailing Address
-- DANA RICHARD IDE P.A.-C.
PO BOX 1754
ALLENTOWN, PA 18105-1754
Phone number: