Provider Demographics
NPI:1225139066
Name:GASTROENTEROLOGY ASSOCIATES OF PENN MEDICAL GROUP, P.C.
Entity Type:Organization
Organization Name:GASTROENTEROLOGY ASSOCIATES OF PENN MEDICAL GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SENSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-379-0443
Mailing Address - Street 1:1901 W HAMILTON ST
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6459
Mailing Address - Country:US
Mailing Address - Phone:610-973-1400
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:400 S 9TH ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1812
Practice Address - Country:US
Practice Address - Phone:610-379-0443
Practice Address - Fax:610-379-0587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty