Provider Demographics
NPI:1104942416
Name:PHELAN, WILLIAM J III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:PHELAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2200 W HAMILTON ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6337
Mailing Address - Country:US
Mailing Address - Phone:610-770-9111
Mailing Address - Fax:610-770-9507
Practice Address - Street 1:2200 W HAMILTON ST
Practice Address - Street 2:SUITE 214
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6337
Practice Address - Country:US
Practice Address - Phone:610-770-9111
Practice Address - Fax:610-770-9507
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD023578E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics