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Organization

LEHIGH VALLEY NEPHROLOGY ASSOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT N PURSELL MD (PHYSICIAN)
(610) 865-5888
Entity
Organization

Contact information

Practice address
701 OSTRUM ST, SUITE 602, BETHLEHEM, PA 18015
(610) 865-5888
(610) 865-1697
Mailing address
701 OSTRUM ST, SUITE 602, BETHLEHEM, PA 18015
(610) 865-5888
(610) 865-1697

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011249240021
PA
01
02348300
CAPITAL BLUE CROSS
01
131084
UNISON HEALTH PLAN
01
1519711
GATEWAY HEALTH PLAN
01
193798
HIGHMARK BLUE SHIELD
01
20044600
AMERIHEALTH MERCY HEALTH
05
3564401
NJ
01
6000
GEISINGER HEALTH PLAN
Enumeration date
06/03/2006
Last updated
04/16/2011
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