| Base Service Unit 392 | |
|
2604 Schoenersville Rd Bethlehem PA 18017-3518 | |
| (610) 691-8028 | |
| Not Available |
| Full Name | Base Service Unit 392 |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2604 Schoenersville Rd, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Michael Kaufman (PRESIDENT) |
| Authorized Official Contact | 6108669000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Base Service Unit 392 1650 Valley Center Pkwy Suite 100 Bethlehem PA 18017-2344 Ph: (484) 884-4436 | Base Service Unit 392 2604 Schoenersville Rd Bethlehem PA 18017-3518 Ph: (610) 691-8028 |
| NPI Number | 1093720948 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093720948 | NPI | - | NPPES |
| 1368384 | Other | PA | HIGHMARK BLUE SHIELD |
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