Provider Demographics
NPI:1932120292
Name:ARMBRISTER FAMILY MEDICAL SERVICES,PC
Entity Type:Organization
Organization Name:ARMBRISTER FAMILY MEDICAL SERVICES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DORNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARMBRISTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-433-0680
Mailing Address - Street 1:1014-1016 S 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-3356
Mailing Address - Country:US
Mailing Address - Phone:610-433-0680
Mailing Address - Fax:610-433-0681
Practice Address - Street 1:1014 S 5TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3356
Practice Address - Country:US
Practice Address - Phone:610-433-0680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418379207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1780055OtherHIGHMARK BLUE SHIELD
PA1780055OtherHIGHMARK BLUE SHIELD