Individual
JOSEFINA ANDREA VALDIVIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
(610) 807-0366
Mailing address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
(610) 807-0366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA050642
PA
363AM0700X
Medical Physician Assistant
Primary
MA050642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958671
HIGHMARK BLUE SHIELD
—
01
—
438549
HEALTHAMERICA/HEALTHASSUR
—
01
—
50068245
CAPITAL BLUE CROSS
—
Enumeration date
06/13/2005
Last updated
07/21/2025
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