NPI 1891886198 · live from the CMS NPI Registry
Roula H Ainchaibeh, PA-C
Physician Assistant, Medical in Allentown, PA. National Provider Identifier 1891886198, active.
NPI record
| NPI | 1891886198 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1250 S Cedar Crest Blvd Ste 405, Allentown, PA 18103 |
| Practice phone | 610-402-8420 |
| Mailing address | 2100 Mack Blvd Fl 4, Allentown, PA 18103 |
| Enumerated | September 28, 2006 |
| Last updated | January 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | MA051747 (PA) |
| Physician Assistant | 363A00000X | MP00126200 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.