Individual provider · Type 1 NPI

Jacob Tyler Stancato

Medical Physician Assistant · Allentown, PA

NPI number 1770245367 Active

Practice location

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

Call (610) 402-8000 Map

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Other practice locations

  • 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 · (610) 402-8000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA063010 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1770245367

Jacob Tyler Stancato's National Provider Identifier is 1770245367, issued on Oct 11, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Mar 15, 2022.