Individual
DR. CHARLES L LUDIVICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 OSTRUM ST STE 302, FOUNTAIN HILL, PA 18015-1152
(610) 868-1336
(610) 332-2436
Mailing address
701 OSTRUM ST, STE 402, BETHLEHEM, PA 18015
(610) 868-1336
(610) 332-2436
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD012628E
PA
Other
Enumeration date
01/08/2007
Last updated
06/20/2019
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