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Organization
ENDOCRINE ASSOCIATES OF THE LEHIGH VALLEY PC
Active
Organization
ENDOCRINE ASSOCIATES OF THE LEHIGH VALLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC A VENGROVE D.O. (PRESIDENT)
(610) 253-9622
Entity
Organization
Contact information
Practice address
5230 WILLIAM PENN HWY, EASTON, PA 18045-2966
(610) 253-9622
(610) 253-9772
Mailing address
5230 WILLIAM PENN HWY, EASTON, PA 18045-2966
(610) 253-9622
(610) 253-9772
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02594200
CAPITAL BLUE CROSS
PA
01
—
738987
BLUE SHIELD
PA
01
—
AETNA
0930603
PA
01
—
CN3958
RAILROAD MEDICARE
PA
Enumeration date
11/08/2006
Last updated
08/22/2020
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