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Organization
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC.
Active
Organization
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC.
Active
Other names
Lehigh Valley Physician Group-Schuylkill
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DEMOPOULOS (SR VP & COO)
(484) 884-4500
Entity
Organization
Contact information
Practice address
205 E LAUREL BLVD, POTTSVILLE, PA 17901-2534
(570) 622-1887
(570) 622-1959
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
OS018890
PA
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016810700002
—
PA
Enumeration date
06/06/2006
Last updated
05/11/2022
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