Provider Demographics
NPI:1750907630
Name:ALLEN, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:505 HISTORIC DR
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579-1479
Mailing Address - Country:US
Mailing Address - Phone:717-687-0313
Mailing Address - Fax:717-687-3604
Practice Address - Street 1:505 HISTORIC DR
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-1479
Practice Address - Country:US
Practice Address - Phone:717-687-0313
Practice Address - Fax:717-687-3604
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD480582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine