Organization
LEHIGH VALLEY PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROSSI (VP/CFO)
(484) 884-4500
Entity
Organization
Contact information
Practice address
564 W BROAD ST, SUITE 2, HAZLETON, PA 18201-6108
(570) 501-6220
(570) 501-2795
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
07/18/2017
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