CEDAR CREST ENT ASSOCIATES P.C. NPI 1073575973

NPI Details

CEDAR CREST ENT ASSOCIATES P.C. is a plastic surgery within the head and neck otolaryngology in Allentown, PA. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. CEDAR CREST ENT ASSOCIATES P.C. NPI is 1073575973. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1251 S CEDAR CREST BLVD
SUITE 100
ALLENTOWN, PA
ZIP 18103-205
Phone: (610) 770-9797
Fax: (610) 770-9521

The provider's authorized official is Theodore H Gaylor .
The authorized official title is M.d./president and has the following contact phone number (610) 770-9797.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 2/27/2008.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.