Organization
LEHIGH VALLEY HOSPITAL
Active
Other names
MHMR Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KAUFMANN MD (PRESIDENT)
(610) 402-1155
Entity
Organization
Contact information
Practice address
17TH & CHEW STREETS, 3RD FLOOR, ALLENTOWN, PA 18104
(610) 402-1155
Mailing address
1650 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2344
(484) 884-4436
(484) 884-4444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
PA
2084P0800X
Psychiatry Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1368494
BLUE SHIELD
PA
Enumeration date
05/26/2006
Last updated
10/31/2007
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