Individual
DR. BENGT IVARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1259 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 18103-6372
(610) 402-9400
(610) 402-9420
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD059004L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001600222
—
PA
Enumeration date
02/06/2007
Last updated
11/23/2015
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