Organization
PROGRESSIVE PHYSICIAN ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE DEANGELO (ADMINISTRATIVE CREDENTIALING COORDI)
(610) 868-1100
Entity
Organization
Contact information
Practice address
95 HIGHLAND AVE, SUITE 130, BETHLEHEM, PA 18017-9424
(610) 868-1100
(610) 868-1111
Mailing address
95 HIGHLAND AVE, SUITE 130, BETHLEHEM, PA 18017-9424
(610) 868-1100
(610) 868-1111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
2085R0204X
Vascular & Interventional Radiology Physician
—
PA
2086S0129X
Vascular Surgery Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303700
—
PA
Enumeration date
05/17/2006
Last updated
12/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us