Doctor Name: | DR. ADAM EDWIN KOBIALKA |
NPI Number: | 1821438912 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OT015436 |
Business Practice Address: | 1736 Hamilton St Allentown, PA - 181045656 |
Business Phone Number: | 6106288300 |
Business Fax Number: | |
Mailing Address: | 14 Sugarloaf Ave, Po Box 1215 CONYNGHAM |
State: | PA |
Postal Code: | 18219 |
Phone Number: | 5705825156 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2013 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OT015436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |