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1861473217
DANA RICHARD IDE
ALLENTOWN, PA
NPI
1861473217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA002895L)
Enumeration Date
2005-11-10
Last Update Date
2014-10-31
Business Address
-- DANA RICHARD IDE P.A.-C.
1250 S CEDAR CREST BLVD STE 110
ALLENTOWN, PA 18103-6224
Phone number: 610-435-1003
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Mailing Address
-- DANA RICHARD IDE P.A.-C.
PO BOX 1754
ALLENTOWN, PA 18105-1754
Phone number:
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