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Organization

STAR WELLNESS CENTER, INC

Active
Other names
Star Wellness (FP/IM)
Organization subpart
No

Provider details

NPI number
Authorized official
SUE CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization

Contact information

Practice address
511 E 3RD ST STE 200, BETHLEHEM, PA 18015-2072
(484) 526-4700
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RH0003X
Hematology & Oncology Physician
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
208800000X
Urology Physician
208C00000X
Colon & Rectal Surgery Physician

Other

Enumeration date
12/07/2018
Last updated
12/07/2018
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