| Lehigh Valley Physician Group | |
|
141 N Vine St Hazleton PA 18201-5852 | |
| (570) 454-0500 | |
| Not Available |
| Full Name | Lehigh Valley Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 141 N Vine St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | James Demopoulos (SVP) |
| Authorized Official Contact | 4848623333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Physician Group 2100 Mack Blvd Fl 4 Allentown PA 18103-5622 Ph: () - | Lehigh Valley Physician Group 141 N Vine St Hazleton PA 18201-5852 Ph: (570) 454-0500 |
| NPI Number | 1558125997 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558125997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Michael A. Washinsky, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 E Borad Street, Suite1, Hazleton, PA 18201 Phone: 570-459-2226 Fax: 570-459-2511 | |
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