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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