Basic Information
| Provider Information | |||||||||
| NPI: | 1043354913 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MARK S SPRINGER MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6083 HAMILTON BLVD | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181069767 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108414404 | ||||||||
| FaxNumber: | 6103959473 | ||||||||
| Practice Location | |||||||||
| Address1: | 6083 HAMILTON BLVD | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181069767 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108414404 | ||||||||
| FaxNumber: | 6103959473 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/16/2007 | ||||||||
| LastUpdateDate: | 08/28/2012 | ||||||||
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| AuthorizedOfficialLastName: | SPRINGER | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6108414404 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.