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Organization
GSLPG VASCULAR CENTER
Active
Organization
GSLPG VASCULAR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
100 PARAMOUNT BLVD, ORWIGSBURG, PA 17961-2202
(272) 639-1000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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