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Organization

MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC

Active
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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
3800 SIERRA CIR, SUITE 115, CENTER VALLEY, PA 18034-8476
(484) 664-2480
(484) 664-2483
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
1439503
HIGHMARK PA BLUE SHIELD
PA
01
50004484
CAPITAL BLUE CROSS
PA
01
CA1229
PALMETTO RR
PA
Enumeration date
05/28/2006
Last updated
11/12/2007
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