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Organization
VITA MEDICAL ASSOCIATES, PC
Active
Organization
VITA MEDICAL ASSOCIATES, PC
Active
Other names
Vita Medical Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MASENHEIIMER (PRACTICE ADMINISTRATOR)
(610) 866-0113
Entity
Organization
Contact information
Practice address
306 S NEW ST STE 201, BETHLEHEM, PA 18015-1652
(610) 866-0113
(610) 974-8589
Mailing address
306 S NEW ST STE 201, BETHLEHEM, PA 18015-1112
(610) 866-0113
(610) 974-8589
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD040218L
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD041008L
PA
363L00000X
Nurse Practitioner
SP008429
PA
Other
Enumeration date
08/31/2006
Last updated
01/13/2023
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