Organization
VITA MEDICAL ASSOCIATES, PC
Active
Other names
Vita Medical Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MASENHEIIMER (PRACTICE ADMINISTRATOR)
(610) 866-0113
Entity
Organization
Contact information
Practice address
306 S NEW ST STE 201, BETHLEHEM, PA 18015-1652
(610) 866-0113
(610) 974-8589
Mailing address
306 S NEW ST STE 201, BETHLEHEM, PA 18015-1112
(610) 866-0113
(610) 974-8589
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD040218L
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD041008L
PA
363L00000X
Nurse Practitioner
SP008429
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012930600003
—
PA
05
—
0014316580002
—
PA
05
—
0018028540001
—
PA
Enumeration date
08/31/2006
Last updated
01/13/2023
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