Organization
LEHIGH VALLEY PHYSICIAN GROUP
Active
Parent organization
LEHIGH VALLEY PHYSICIAN GROUP
Other names
LVPG Family Medicine - Fogelsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
JAMES DEMOPOLOUS (VP, CFO)
(484) 884-4500
Entity
Organization
Contact information
Practice address
1431 NURSERY ST, STE 101, FOGELSVILLE, PA 18051-1612
(610) 395-1936
(610) 395-7263
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
09/26/2018
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