Provider Demographics
NPI:1598987117
Name:ALLENTOWN INTERNAL MEDICINE PC
Entity Type:Organization
Organization Name:ALLENTOWN INTERNAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-259-3635
Mailing Address - Street 1:1280 YARDVILLE ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501
Mailing Address - Country:US
Mailing Address - Phone:609-259-3635
Mailing Address - Fax:609-259-9508
Practice Address - Street 1:1280 YARDVILLE ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501
Practice Address - Country:US
Practice Address - Phone:609-259-3635
Practice Address - Fax:609-259-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04584900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ453842Medicare ID - Type Unspecified
NJD19023Medicare UPIN