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Organization
MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC
Active
Organization
MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E STOVER (EXECUTIVE DIRECTOR)
(610) 973-1400
Entity
Organization
Contact information
Practice address
401 N 17TH ST, SUITE 201, ALLENTOWN, PA 18104-5034
(610) 432-6862
(610) 432-9705
Mailing address
1901 W HAMILTON ST, SUITE 100B, ALLENTOWN, PA 18104-6459
(610) 973-1400
(610) 973-1449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02286600
CAPITAL BLUE CROSS
PA
01
—
1439498
HIGHMARK PA BLUE SHIELD
PA
01
—
CA1229
PALMETTO RR
PA
Enumeration date
06/06/2006
Last updated
10/05/2007
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