Individual
IAN JOEL DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1490 8TH AVE STE 220, BETHLEHEM, PA 18018-2212
(610) 402-9116
Mailing address
1581 N 9TH ST, STROUDSBURG, PA 18360-7531
(272) 212-0620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT027578
PA
363A00000X
Physician Assistant
Primary
MA063965
PA
363AM0700X
Medical Physician Assistant
Primary
MA063965
PA
Other
Enumeration date
11/18/2019
Last updated
03/06/2026
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