Most Relevant Information
Provider Data
| NPI Number: | 1003665654 |
| Provider Name: | SAMANTHA JIMENEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | MA065738 |
Most Important Dates
| Enumeration Date: | 05/16/2024 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
2649 SCHOENERSVILLE RD STE 101
BETHLEHEM
PA
180177317
Practice Location Phone/Fax
| Phone: | 6104026986 |
| Fax: |
Provider Mailing Location
2100 MACK BLVD
4TH FL
ALLENTOWN
PA
18103
Provider Mailing Phone/Fax
| Phone: | 4848844500 |
| Fax: | 4848840699 |