Organization
BETHLEHEM PRIMARY CARE PROVIDERS PC
Active
Organization
BETHLEHEM PRIMARY CARE PROVIDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JUDE GOULD DO (PRESIDENT)
(610) 691-2282
Entity
Organization
Contact information
Practice address
3445 HIGH POINT BLVD STE 202, BETHLEHEM, PA 18017-7812
(610) 691-2282
(610) 691-2410
Mailing address
3445 HIGH POINT BLVD STE 202, BETHLEHEM, PA 18017-7812
(610) 691-2282
(610) 691-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS010000-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02348900
CAPITAL BLUE CROSS
PA
01
—
129924
HIGHMARK
PA
01
—
2685643
AETNA
PA
Enumeration date
01/23/2007
Last updated
04/07/2019
Update your record
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