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Organization

PODIATRY ASSOCIATES OF THE LEHIGH VALLEY, LLC

Active
Other names
Podiatry Associates of the Lehigh Valley
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A DIAMOND D.P.M. (PODIATRIST)
(610) 865-0311
Entity
Organization

Contact information

Practice address
303 W BROAD ST, BETHLEHEM, PA 18018-5526
(610) 865-0311
(610) 865-9458
Mailing address
303 W BROAD ST, BETHLEHEM, PA 18018-5526
(610) 865-0311
(610) 865-9458

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
AD1583803
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3425983000
IBX PROVIDER #
PA
01
9355611
AETNA
PA
Enumeration date
03/04/2008
Last updated
09/22/2014
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