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Randi L. Shupp, PA-C
Medical Physician Assistant in Allentown, Pennsylvania
NPI 1831183854

Randi L. Shupp is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Randi L. Shupp practices in Allentown, PA and has the professional credentials of PA-C. The NPI Number for Randi L. Shupp is 1831183854 and holds a License No. MA051867 (Pennsylvania).

The current practice location address for Randi L. Shupp is 250 Cetronia Road, Allentown, PA and can be reached out via phone at 610-973-6200 and via fax at 610-973-6546.

Location: 250 Cetronia Road, Allentown, PA, 19178-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831183854
Provider Name
Randi L. Shupp
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
250 Cetronia Road, Allentown, PA, 19178-3311
Phone Number
610-973-6200
Fax Number
610-973-6546
Provider Enumeration Date
09/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50053681 01 PA BLUE CROSS
50053681 01 PA KEYSTONE CENTRAL
institution
Provider Business Practice Location Address Details
Address
250 Cetronia Road
City
Allentown
State
Pennsylvania
Zip
18104-9168
Phone Number
610-973-6200
Fax Number
610-973-6546
person
Provider Business Mailing Address Details
Address
250 Cetronia Road
City
Allentown
State
Pennsylvania
Zip
18104-9168
Phone Number
610-973-6200
Fax Number
610-973-6546
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
MA051867 (Pennsylvania)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA051867 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
MA051867 (Pennsylvania)
Definition
Definition to come...
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