# PODIATRY ASSOCIATES OF THE LEHIGH VALLEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Podiatry Associates of the Lehigh Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649440850
- **Authorized official:** ROBERT A DIAMOND D.P.M. (PODIATRIST)
- **Authorized official phone:** (610) 865-0311

## Contact information

- **Practice address:** 303 W BROAD ST, BETHLEHEM, PA 18018-5526
- **Practice address phone:** (610) 865-0311
- **Practice address fax:** (610) 865-9458
- **Mailing address:** 303 W BROAD ST, BETHLEHEM, PA 18018-5526
- **Mailing address phone:** (610) 865-0311
- **Mailing address fax:** (610) 865-9458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | AD1583803 | PA | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 09/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3425983000 | IBX PROVIDER \# | PA |
| 01 | — | 9355611 | AETNA | PA |