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Organization

MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC

Active
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Organization

MEDICAL ASSOCIATES OF THE LEHIGH VALLEY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT E STOVER (EXECUTIVE DIRECTOR)
(610) 973-1400
Entity
Organization

Contact information

Practice address
798 HAUSMAN RD, SUITE 270, ALLENTOWN, PA 18104-9108
(610) 871-3300
(610) 871-5566
Mailing address
1605 N CEDAR CREST BLVD, SUITE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1400
(610) 973-1449

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02289600
CAPITAL BLUE CROSS
PA
01
1439493
HIGHMARK PA BLUE SHIELD
PA
01
CA1229
PALMETTO RR
PA
Enumeration date
06/06/2006
Last updated
09/02/2011
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