# LEHIGH VALLEY PHYSICIAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEHIGH VALLEY PHYSICIAN GROUP
- **Other names:** Robert A. Matta, DO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932343621
- **Legal business name:** LEHIGH VALLEY PHYSICIAN GROUP
- **Authorized official:** ROBERT B KNOX (ASSOCIATE EX DIRECTOR OF FINANCE)
- **Authorized official phone:** (610) 798-4500

## Contact information

- **Practice address:** 1501 LEHIGH ST, SUITE 105, ALLENTOWN, PA 18103-3880
- **Practice address phone:** (610) 435-8643
- **Mailing address:** 1901 W HAMILTON ST, SUITE 100B, ALLENTOWN, PA 18104-6459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2009
- **Last updated:** 04/24/2009