Organization
HILLSIDE OB-GYN ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAAN JOHAN VAN GAALEN MD (PRESIDENT)
(610) 866-2929
Entity
Organization
Contact information
Practice address
701 OSTRUM ST, STE 303, BETHLEHEM, PA 18015-1152
(610) 866-2929
(610) 866-3604
Mailing address
701 OSTRUM ST, STE 303, BETHLEHEM, PA 18015-1152
(610) 866-2929
(610) 866-3604
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067239
BS
PA
01
—
02347000
BC
PA
Enumeration date
12/29/2005
Last updated
08/22/2020
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