Individual provider · NPI-1

Jefferson Dekloe, MD

Otolaryngology · Bethlehem, PA

NPI number1821885351
StatusActive
Last updated in NPPESMay 12, 2025

Details

NPI
1821885351
Entity type
Individual (NPI-1)
Name
Jefferson Dekloe
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2025
Certification date
May 12, 2025
Last updated
May 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X OtolaryngologyMT233473PAYes

Practice location

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817

Phone 610-866-5555 · Fax 610-866-3151

Mailing address

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817

Phone 610-866-5555 · Fax 610-866-3151

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