Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Other names
Sacred Heart Medical Associates - Infectious Disease
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE GOMBERT (VP FINANCE)
(610) 776-5141
Entity
Organization
Contact information
Practice address
451 W CHEW ST, SUITE 301, ALLENTOWN, PA 18102-3472
(610) 663-3258
(610) 663-3262
Mailing address
421 W CHEW ST, PHYSICIAN ACCOUNTS, ALLENTOWN, PA 18102-3406
(610) 776-5100
(610) 663-3113
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459178
HIGHMARK BLS GROUP
PA
01
—
50047325
CBC GROUP NUMBER
PA
Enumeration date
04/03/2006
Last updated
08/22/2020
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