Organization
SEASONS OF LIFE OBSTETRICS AND GYNECOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY PEARL GREISS-COULT D.O. (PRESIDENT/ OWNER)
(484) 553-6276
Entity
Organization
Contact information
Practice address
1611 POND RD, SUITE 102, ALLENTOWN, PA 18104-2258
(610) 366-7000
(610) 366-0255
Mailing address
6553 HOFFMAN LN, COOPERSBURG, PA 18036-3030
(484) 553-6276
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS012199
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634499
HIGHMARK BLUE SHIELD
PA
01
—
26895627
UNITED HEALTHCARE
PA
01
—
3840818000
INDEPENDENCE BLUE CROSS
PA
01
—
4152777
CIGNA
PA
01
—
50101952
CAPITAL BLUE CROSS
PA
Enumeration date
06/28/2011
Last updated
08/29/2011
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