# LEHIGH VALLEY VASCULAR INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861857906
- **Authorized official:** JAMES MCGUCKIN MD (CEO)
- **Authorized official phone:** (215) 382-3680

## Contact information

- **Practice address:** 3450 HIGH POINT BLVD, BETHLEHEM, PA 18017-7801
- **Practice address phone:** (215) 382-3680
- **Mailing address:** 3450 HIGH POINT BLVD, BETHLEHEM, PA 18017-7801
- **Mailing address phone:** (610) 266-7644
- **Mailing address fax:** (610) 881-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/16/2015
- **Last updated:** 12/17/2020