Organization
PROGRESSIVE PHYSICIAN ASSOC, INC.
Active
Organization
PROGRESSIVE PHYSICIAN ASSOC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNE DEANGELO (ADMINISTRATION/CREDENTIALING)
(610) 868-1100
Entity
Organization
Contact information
Practice address
1021 PARK AVE, QUAKERTOWN, PA 18951-1573
(610) 868-1100
(610) 868-1111
Mailing address
PO BOX 1156, BETHLEHEM, PA 18016-1156
(610) 868-1100
(610) 868-1111
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
PA
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303700-0023
—
PA
Enumeration date
05/01/2008
Last updated
12/02/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up