COLON RECTAL SURGERY ASSOCIATES PC NPI 1629027388

NPI Information

COLON RECTAL SURGERY ASSOCIATES PC is a colon rectal surgery in Allentown, PA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. COLON RECTAL SURGERY ASSOCIATES PC NPI is 1629027388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1255 S CEDAR CREST BLVD
SUITE 3900
ALLENTOWN, PA
ZIP 18103-256
Phone: (610) 402-1095
Fax: (610) 435-5003

The provider's authorized official is Mikhail I Rakhmanine .
The authorized official title is Physician/owner and has the following contact phone number (484) 788-0840.

The CLIA number assigned to this NPI record is 39D0989451 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 1/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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