Provider Demographics
NPI:1508016809
Name:ALLEN J OREHEK M.D.
Entity Type:Organization
Organization Name:ALLEN J OREHEK M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:OREHEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-488-7777
Mailing Address - Street 1:231 BELMONT TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYMART
Mailing Address - State:PA
Mailing Address - Zip Code:18472-6033
Mailing Address - Country:US
Mailing Address - Phone:570-488-7777
Mailing Address - Fax:570-488-9696
Practice Address - Street 1:231 BELMONT TPKE
Practice Address - Street 2:
Practice Address - City:WAYMART
Practice Address - State:PA
Practice Address - Zip Code:18472-6033
Practice Address - Country:US
Practice Address - Phone:570-488-7777
Practice Address - Fax:570-488-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063049L207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA894299OtherMEDICARE ID - TYPE UNSPECIFIED
PAG91334Medicare UPIN