Organization
LEHIGH VALLEY FOOT & ANKLE SURGEONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS A KAUFMAN (BUSINESS MANAGER)
(610) 391-0066
Entity
Organization
Contact information
Practice address
1575 POND RD, SUITE 202, ALLENTOWN, PA 18104-2254
(610) 391-0066
(610) 391-0096
Mailing address
1575 POND RD, SUITE 202, ALLENTOWN, PA 18104-2254
(610) 391-0066
(610) 391-0096
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC-003737-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02351100
CAPITAL BLUE CROSS GROUP
PA
01
—
902886
BLUE SHIELD GROUP NUMBER
PA
01
—
CE7940
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
12/13/2007
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