Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Other names
Sacred Heart Medical Associates - Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A LANSHE (VP LEGAL AFFAIRS)
(610) 776-5141
Entity
Organization
Contact information
Practice address
450 W CHEW ST, SIGAL CENTER SUITE 204 SHMA NEUROLOGY, ALLENTOWN, PA 18102-3434
(610) 776-5491
(610) 606-4432
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
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0459718
AETNA HMO
—
01
—
0679828000
IBC
—
01
—
1531299
GATEWAY HEALTH PLAN
—
01
—
1948543
HIGHMARK BLUE SHIELD
—
01
—
20021227
AMERIHEALTH MERCY HEALTH
—
01
—
50047325
CBC GROUP NUMBER
PA
01
—
5212022
AETNA PPO
—
Enumeration date
04/03/2006
Last updated
02/25/2009
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