Provider Demographics
NPI:1164909933
Name:CDC ALLENTOWN, P.C.
Entity Type:Organization
Organization Name:CDC ALLENTOWN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TWARDZIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-838-6803
Mailing Address - Street 1:1851 SPRINGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-5092
Mailing Address - Country:US
Mailing Address - Phone:610-838-6803
Mailing Address - Fax:
Practice Address - Street 1:5354 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9775
Practice Address - Country:US
Practice Address - Phone:215-538-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072426L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty