Individual
BETHANY ANNE VENIT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
881 N CHURCH ST, HAZLETON, PA 18201-1837
(570) 455-8557
(570) 459-6832
Mailing address
881 N CHURCH ST, HAZLETON, PA 18201-1837
(570) 455-8557
(570) 459-6832
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD016940E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006134960002
—
PA
01
—
001024
FPH
—
01
—
027557
BS
—
01
—
16321
GHP
—
01
—
2511775
AETNA
—
Enumeration date
09/27/2005
Last updated
07/08/2007
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