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Organization
NORTHERN VALLEY PRIMARY CARE,P.C
Active
Organization
NORTHERN VALLEY PRIMARY CARE,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMEEN SORATHIA (PRACTICE MANAGER)
(610) 261-0999
Entity
Organization
Contact information
Practice address
44 W 21ST ST, SUITE 101, NORTHAMPTON, PA 18067-1221
(610) 261-0999
(610) 261-2187
Mailing address
44 W 21ST ST, SUITE 101, NORTHAMPTON, PA 18067-1221
(610) 261-0999
(610) 261-2187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS013857
PA
207R00000X
Internal Medicine Physician
Primary
044704-L
PA
207R00000X
Internal Medicine Physician
062722-L
PA
207R00000X
Internal Medicine Physician
MA051873
PA
207R00000X
Internal Medicine Physician
MD052173-L
PA
363AM0700X
Medical Physician Assistant
MA053534
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019326430003
—
PA
01
—
1124277603
NPI
PA
01
—
1275729873
MA053094
PA
01
—
1366615213
NPI
PA
01
—
1447222070
NPI
PA
01
—
MD440485
MD LIC#
PA
01
—
OS013857
MD LIC
PA
Enumeration date
07/27/2005
Last updated
07/30/2010
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