Lvpg Internal Medicine-west Broad | |
325 W Broad St Bethlehem PA 18018-5526 | |
(484) 626-9200 | |
(610) 867-8499 |
Full Name | Lvpg Internal Medicine-west Broad |
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Speciality | Internal Medicine |
Location | 325 W Broad St, Bethlehem, Pennsylvania |
Authorized Official Name and Position | James Demopoulos (SR VP & COO) |
Authorized Official Contact | 4848844500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lvpg Internal Medicine-west Broad Po Box 783311 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | Lvpg Internal Medicine-west Broad 325 W Broad St Bethlehem PA 18018-5526 Ph: (484) 626-9200 |
NPI Number | 1235537028 |
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Provider Enumeration Date | 12/11/2014 |
Last Update Date | 05/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235537028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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