Organization
PROGRESSIVE PHYSICIAN ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNE DEANGELO (ADMINISTRATION)
(610) 868-1100
Entity
Organization
Contact information
Practice address
425 BRIGHTON ST, #303, BETHLEHEM, PA 18015-1273
(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
2085B0100X
Body Imaging Physician
—
PA
2085N0700X
Neuroradiology Physician
—
PA
2085N0904X
Nuclear Radiology Physician
—
PA
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Enumeration date
06/07/2011
Last updated
12/02/2013
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