Provider Demographics
NPI:1508821133
Name:CONRON, RICHARD WELLS JR (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WELLS
Last Name:CONRON
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:5325 NORTHGATE DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9411
Mailing Address - Country:US
Mailing Address - Phone:610-865-5535
Mailing Address - Fax:610-625-4300
Practice Address - Street 1:5325 NORTHGATE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9411
Practice Address - Country:US
Practice Address - Phone:610-865-5535
Practice Address - Fax:610-625-4300
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2007-07-30
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Provider Licenses
StateLicense IDTaxonomies
PA008763L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1519579OtherGATEWAY
PA6550863002OtherCIGNA
PA0303543000OtherINDEPENDENCE BLUE SHIELD
PA68957OtherGEISINGER
PA2456748OtherAETNA
PA0018102750002Medicaid
PA01186601OtherCAPITAL BLUE CROSS
PA233065999001OtherUNITED HEALTHCARE
PAP725721OtherOXFORD
PA20010402OtherAMERIHEALTH MERCY
PA3Y1936OtherHEALTHNET
PAE54370OtherEPHN
PAE54370OtherEPHN
PA68957OtherGEISINGER