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Organization

LEHIGH VALLEY PHYSICIAN GROUP

Active
Parent organization
LEHIGH VALLEY PHYSICIAN GROUP
Other names
Manzella Family Healthcare
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
JAMES DEMOPOULOS (SVP)
(484) 862-3333
Entity
Organization

Contact information

Practice address
1353 STATE ROUTE 903, JIM THORPE, PA 18229-2734
(570) 325-8393
(570) 325-8029
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/17/2023
Last updated
04/21/2023
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